Individual
ADASIAH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
13744 W KEIM DR, LITCHFIELD PARK, AZ 85340-5340
(716) 489-0904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008876
AZ
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/14/2022
Last updated
03/09/2026
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