Individual
DARCEY LYNN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
75 LILAC ST, BLACKFOOT, ID 83221-1768
(208) 785-9917
Mailing address
75 LILAC ST, BLACKFOOT, ID 83221-1768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2250
ID
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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