Individual
CARRIE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4295 5TH AVE, MARIANNA, FL 32446-2176
(850) 482-8091
Mailing address
6341 BUTLER RD, MARIANNA, FL 32446-6769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10715
FL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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