Individual
MRS. REBECCA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
Mailing address
2017 W BANGS AVE, NEPTUNE, NJ 07753-4533
(732) 773-1943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TA09092900
NJ
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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