Individual
BRYAN J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
056.006268
IL
225X00000X
Occupational Therapist
056006268
IL
225X00000X
Occupational Therapist
Primary
31005191A
IN
Other
Enumeration date
03/23/2007
Last updated
09/13/2016
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