Individual
CARSON LAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7434 E FORGE AVE, MESA, AZ 85208-2753
(904) 524-5875
Mailing address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007503
AZ
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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