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Individual

MRS. CARYN M. MASTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
056002589
IL
225X00000X
Occupational Therapist
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056002589
DEPARTMENT OF PROFESSIONAL REGULATION REGISTERED OCCUPATIONAL THERAPIST
IL
Enumeration date
09/10/2008
Last updated
05/20/2025
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