Individual
CARLIE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTR3536
AR
225X00000X
Occupational Therapist
Primary
OTR3537
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458070
NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPY
—
Enumeration date
08/23/2021
Last updated
06/29/2023
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