Tara Carine Carlson, OTR Valid NPI

Individual provider · Occupational Therapist · Superior, CO

NPI

1639680705

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

0002418 (CO)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-10-17

Last updated

2017-10-17