Individual
JULIANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 W PECOS RD APT 1058, CHANDLER, AZ 85224-4837
(708) 612-1800
Mailing address
2450 W PECOS RD APT 1058, CHANDLER, AZ 85224-4837
(708) 612-1800
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
6489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6489
OCCUPATIONAL THERAPY LICENSE
AZ
Enumeration date
02/26/2016
Last updated
02/26/2016
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