Organization
TARA C. CARLSON, OTR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA C CARLSON OTR (OCCUPATIONAL THERAPIST, OWNER)
(303) 587-5526
Entity
Organization
Contact information
Practice address
2127 GRAYDEN CT, SUPERIOR, CO 80027-8223
(303) 587-5526
Mailing address
2127 GRAYDEN CT, SUPERIOR, CO 80027-8223
(303) 587-5526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0002418
CO
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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