Individual
MRS. KYLIE SUZANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, ATC
Contact information
Practice address
7500 N DREAMY DRAW DR STE 120, PHOENIX, AZ 85020-4641
(703) 362-8246
Mailing address
7500 N DREAMY DRAW DR STE 120, PHOENIX, AZ 85020-4641
(703) 362-8246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7308
AZ
Other
Enumeration date
04/19/2012
Last updated
09/26/2025
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