Individual
ROBERTA L CARRLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
(701) 757-4208
Mailing address
2016 S WASHINGTON ST, GRAND FORKS, ND 58201-6342
(701) 775-8934
(701) 757-4208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1241
ND
Other
Enumeration date
07/15/2010
Last updated
10/22/2014
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