Individual
MRS. KARIE MARIE CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.011726
IL
225X00000X
Occupational Therapist
Primary
OT60868495
WA
Other
Enumeration date
12/12/2016
Last updated
11/06/2018
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