Individual
MRS. BRIANNA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1131 N JACQUALINE LN, PRINCETON, IL 61356-8229
(309) 258-0515
Mailing address
1131 N JACQUALINE LN, PRINCETON, IL 61356-8229
(309) 258-0515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004309
IL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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