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Individual

MELANIE CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
3000 ERWIN RD, DURHAM, NC 27705-4504
(919) 684-6669
Mailing address
1551 ATRIA CIR APT 2113, RALEIGH, NC 27604-5329

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
023511
NY
225XP0200X
Pediatric Occupational Therapist
Primary
11877
NC

Other

Enumeration date
07/15/2019
Last updated
07/12/2021
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