Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT0000000353 | TN |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT0000000353 | TN |
NPI | 1558582700 |
---|---|
Provider Name | Mrs. Carina Ingeborg Karlsson |
First Address | Bristol, VA 24202-4317 |
Second Address | Bristol, TN 37620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |