NPI 1073126579
Taylor Carson, OTRL
Practice location
- Address
- 1448 E Center St STE I, Pocatello, ID 83201-4132
- Phone
- (208) 547-7145
- Mailing address
- 3149 Goldfield Dr, Pocatello, ID 83201-2777
Registered specialties
Pediatric Occupational Therapist
Primary
Registry record
- NPI
- 1073126579
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Aug 2020
- Record last updated
- 26 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.