Individual
INGRID V CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4510 N 22ND ST, TACOMA, WA 98406-3912
(206) 276-8076
Mailing address
4510 N 22ND ST, TACOMA, WA 98406-3912
(206) 276-8076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT60048884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7018518
—
WA
Enumeration date
12/09/2008
Last updated
09/21/2012
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