Individual
MS. GAIL LYNN CARNICOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1351 FOX RUN DR, APT.106, WILLOUGHBY, OH 44094-3422
(330) 348-9524
Mailing address
1351 FOX RUN DR., APT.106, WILLOUGHBY, OH 44094
(330) 348-9524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03375
OH
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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