Individual
MRS. SUSAN NICHOLE CARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
2112 RIPPLE BEND LN, PEARLAND, TX 77581-6473
(281) 451-0690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217898
TX
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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