Individual
TALON CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2277 EAST DR, MONTE VISTA, CO 81144-9330
(719) 852-5138
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0001216
CO
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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