Organization
TARA CARLSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA CARLSON OTR (OCCUPATIONAL THERAPIST)
(303) 587-5526
Entity
Organization
Contact information
Practice address
2127 GRAYDEN CT, SUPERIOR, CO 80027
(303) 587-5526
Mailing address
2127 GRAYDEN CT, SUPERIOR, CO 80027
(303) 587-5526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0002418
CO
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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