Individual
ANGELA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 S WATERFORD DR, SPOKANE, WA 99203-4400
(509) 321-8261
Mailing address
2929 S WATERFORD DR, SPOKANE, WA 99203-4400
(509) 321-8261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001125
WA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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