Individual
LEDA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
(920) 803-1617
(920) 803-1622
Mailing address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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