Courtney A Carlson

NPI #1306997895 in Mastic Beach, New York

Provider Information

NPI Number: 1306997895
Entity Type: Individual
Name: Courtney A Carlson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 64 LOCUST DR
City: Mastic Beach
State: New York
ZIP Code: 11951-5512
Phone: (631) 772-2721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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