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Contact Information

RICHARD M CARLSON, OTR/L
5245 NORTH SOCRUM LOOP ROAD
LAKELAND, FL33823
 Phone: 863-859-1446
 Fax: 863-859-4307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RICHARD M CARLSON · (Male)

NPI Number 1255670568
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 02/06/2013
Last updated 02/06/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT6217
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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