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Connie Carlson, PTA

NPI 1154662757 · on the registry since 2013 · sole proprietor

Practice

Address
4868 W 84th Ct
Crown Point, IN 46307
Phone
(219) 808-3448

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana