NPI 1275198665

Brianna Carlson, COTA

Practitioner Occupational Therapy Assistant Princeton, IL

Practice location

Address: 1131 N Jacqualine Ln, Princeton, IL 61356-8229
Phone: (309) 258-0515

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.004309 (IL)

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Registry record

NPI: 1275198665
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2019
Record last updated: 1 May 2019

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.