Individual
TARYNNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-5528
Mailing address
40 FIRST STREET SE, WAUKON, IA 52172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002349
IA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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