Individual
MRS. TAMRA CARLSON MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
Mailing address
873 DEERBROOK DR, GARDENDALE, AL 35071-3241
(205) 647-5527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0115
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-30477
BLUE CROSS BLUE SHIELD PR
AL
Enumeration date
09/21/2006
Last updated
07/08/2007
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