Individual
KATHLEA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3725 MACOMB ST NW, #211, WASHINGTON, DC 20016-3853
(510) 449-2178
Mailing address
3725 MACOMB ST NW, #211, WASHINGTON, DC 20016-3853
(510) 449-2178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1000516
DC
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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