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Individual

SAVANNAH CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1686 W BARBARA WORTH DR, EL CENTRO, CA 92243-2110
(620) 755-1063
Mailing address
1686 W BARBARA WORTH DR, EL CENTRO, CA 92243-2110

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800819
KS
224Z00000X
Occupational Therapy Assistant
3459
CA
224Z00000X
Occupational Therapy Assistant
OTA14929
FL

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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