Individual
HOPE CRISTINE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1703 PINE ST, OTTAWA, IL 61350-1347
(815) 615-8320
Mailing address
1703 PINE ST, OTTAWA, IL 61350-1347
(815) 615-8320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005591
IL
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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