Tina M Carson OTR L MOT

NPI 1962613711 - Occupational Therapist - 225X00000X

NPI Details
NPI 1962613711
Gender Female
Enumeration Date 05/24/2007
Last Updated 02/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2101 N TWYMAN RD
FORT OSAGE R-I
INDEPENDENCE MO, 64058-3200, US
Phone (816) 796-8762
Fax (816) 796-3657
Business Location
317 SE WILLIAMSBURG DR
BLUE SPRINGS MO, 64014-5559, US
Phone (816) 668-7926
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Missouri
License Number 2003021871
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According to our database, Tina M Carson OTR L MOT NPI is 1962613711, taxonomy code is 225X00000X and license number is 2003021871, license state is located at Missouri. Tina M Carson OTR L MOT physically located at 2101 N Twyman Rd, Independence MO, 64058-3200. NPI Number Tina M Carson OTR L MOT has the Individual type.

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1962613711 NPI number is provided on an as is basis without warranty of any kind. 1962613711 is maintained by the National Plan & Provider Enumeration System. The contents of Tina M Carson OTR L MOT are for informational purposes only.