Individual
MRS. CARRIE JAMESON ANTLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MSOT, OTR/L
Contact information
Practice address
2516 GOODWATER AVE STE B, REDDING, CA 96002-1559
(530) 242-1511
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(530) 242-1511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10148
CA
Other
Enumeration date
12/09/2012
Last updated
12/09/2012
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