Organization
KIDDOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CARSMAN MOTRL (PRESIDENT)
(513) 309-3905
Entity
Organization
Contact information
Practice address
1054 WAR BONNET WAY, INCLINE VILLAGE, NV 89451-9216
(513) 309-3905
(650) 560-2530
Mailing address
1054 WAR BONNET WAY, INCLINE VILLAGE, NV 89451-9216
(513) 309-3905
(650) 560-2530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08-0049
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34
—
NV
Enumeration date
03/20/2017
Last updated
03/20/2017
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