Individual
CARRIE NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 W CALL ST, STARKE, FL 32091-3115
(904) 964-4464
Mailing address
2162 NE 154TH ST, STARKE, FL 32091-6418
(904) 964-4464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10436
FL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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