Individual
MARCIA CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4928
Mailing address
1712 W ADAMS ST, HERRIN, IL 62948-1329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.004425
IL
Other
Enumeration date
02/13/2006
Last updated
04/03/2019
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