Individual
JAMIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E CHASE AVE STE 204, EL CAJON, CA 92020-6300
(619) 647-6157
Mailing address
7830 WESTSIDE DR APT 210, SAN DIEGO, CA 92108-1220
(716) 507-6140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25373
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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