Ebonie L Carlis, OT

NPI #1447851688 in Concord, California

Provider Information

NPI Number: 1447851688
Entity Type: Individual
Name: Ebonie L Carlis, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 1470 CIVIC CT
Address 2: SUITE 320
City: Concord
State: California
ZIP Code: 94520
Phone: (925) 326-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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