Individual
LAURIE MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
Mailing address
2111 UNION ST, COLUMBUS, IN 47201-4243
(812) 390-5201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32000573A
COTA LICENSE
IN
Enumeration date
01/21/2009
Last updated
01/21/2009
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