Individual
ALICE MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
Mailing address
528 BAR DR, KISSIMMEE, FL 34759-4005
(407) 399-1970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00002720
NC
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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