Jacquelynne Rose Carlson
Jacquelynne Rose Carlson is an Occupational Therapist in Coeur D Alene, Idaho. Licensed in Texas. Registered with an NPI since 2022.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
1812 N Lakewood Dr Ste 100Coeur D Alene, ID 83814-2635
Phone: (208) 966-4476
Fax: (208) 966-4475
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 121595 (TX) |
|---|
Record details
| NPI number | 1982338885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2022 |
| Last updated in NPPES | March 6, 2025 |
| Certification date | March 6, 2025 |
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