Individual
CARLA SOARES-GOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC.
Contact information
Practice address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
(814) 234-6023
Mailing address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008160
PA
Other
Enumeration date
04/25/2007
Last updated
07/06/2015
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