MS. Breanna Kaitlyn Carlson

NPI #1851734172 in Bolingbrook, Illinois

Provider Information

NPI Number: 1851734172
Entity Type: Individual
Name: MS. Breanna Kaitlyn Carlson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 168 BEACONRIDGE DR
City: Bolingbrook
State: Illinois
ZIP Code: 60440-2936
Phone: (815) 260-2977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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