Individual
JEAN MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1205 N FAIRFIELD RD, LAYTON, UT 84041-8300
(801) 807-0113
Mailing address
1205 N FAIRFIELD RD, LAYTON, UT 84041-8300
(801) 807-0113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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