MRS. Carly Jean Carlisle, MOT, OTR/L

NPI #1932634714 in Bethalto, Illinois

Provider Information

NPI Number
1932634714
Entity Type
Individual
Name
MRS. Carly Jean Carlisle, MOT, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
MOT, OTR/L
Enumeration Date
Apr 28, 2017
Last Updated
Apr 28, 2017

Practice Location

Address
120 GABRIELLE CIR
ZIP Code
62010-2594
Phone
(618) 593-2909

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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