Individual
BARBARA JEANNE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9650 SIXTY RD, REMSEN, NY 13438-0086
(315) 404-0768
Mailing address
PO BOX 86, REMSEN, NY 13438-0086
(315) 404-0768
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003642-1
NY
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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