Individual
MRS. TAYLOR CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1448 E CENTER ST STE I, POCATELLO, ID 83201-4132
(208) 547-7145
Mailing address
3149 GOLDFIELD DR, POCATELLO, ID 83201-2777
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2252
ID
Other
Enumeration date
08/25/2020
Last updated
12/26/2023
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