Individual
KELSIE A CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
292 LONE LINE RD, OAKESDALE, WA 99158
(509) 499-6980
Mailing address
292 LONE LINE RD, OAKESDALE, WA 99158
(509) 499-6980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60369984
WA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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