Individual
ALLISON MARISSA CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3355 MISSION AVE STE 123, OCEANSIDE, CA 92058-1327
(760) 542-7790
(760) 529-4761
Mailing address
3355 MISSION AVE STE 123, OCEANSIDE, CA 92058-1327
(760) 542-7790
(760) 529-4761
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013246248
PEDIATRICS
CA
Enumeration date
05/17/2018
Last updated
05/17/2018
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