Individual
MRS. CAROL ELAINE HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
280 E MAIN ST, SUITE 132, NEWARK, DE 19711-7333
(302) 709-0440
(302) 709-0443
Mailing address
280 E MAIN ST, SUITE 132, NEWARK, DE 19711-7333
(302) 709-0440
(302) 709-0443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0000531
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000920567
—
DE
Enumeration date
07/03/2006
Last updated
05/12/2008
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