Individual
LISE HELENE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10587 DOUBLE R BLVD STE 101, RENO, NV 89521-8966
(415) 810-8240
Mailing address
PO BOX 7423, TAHOE CITY, CA 96145-7423
(415) 810-8240
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
8297
CA
225XP0200X
Pediatric Occupational Therapist
Primary
NV2030
NV
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184938912
—
NV
Enumeration date
08/04/2010
Last updated
01/04/2019
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