Individual
TINA M CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L MOT
Contact information
Practice address
1610 E. SUNSHINE ST., SPRINGFIELD, MO 65804
(816) 668-7926
Mailing address
1610 E. SUNSHINE ST., SPRINGFIELD, MO 65804
(816) 668-7926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003021871
MO
Other
Enumeration date
05/24/2007
Last updated
08/24/2020
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