Individual
KALI R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
N2680 S COMO RD, LAKE GENEVA, WI 53147-3430
(262) 215-4326
Mailing address
N2680 S COMO RD, LAKE GENEVA, WI 53147-3430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10205
NC
225X00000X
Occupational Therapist
OT-1538
ID
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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