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Individual

CARRIE E WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
200 E WILSON BRIDGE RD, WORTHINGTON, OH 43085-2823
(614) 450-6000
Mailing address
200 E WILSON BRIDGE RD, WORTHINGTON, OH 43085-2823
(614) 450-6000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-5428
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0094740
OH
Enumeration date
06/26/2008
Last updated
09/07/2016
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