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Keenan Carson

Occupational Therapist in Birmingham, AL. Individual provider (NPI-1).

NPI number1710696935
StatusActive
Last updated in NPPESNov 16, 2022

Details

NPI
1710696935
Entity type
Individual (NPI-1)
Name
Mr. Keenan Carson
Sex
Male
Sole proprietor
No
Enumeration date
Nov 16, 2022
Certification date
Nov 16, 2022
Last updated
Nov 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4416ALYes

Practice location

1972 Huntington Ln
Birmingham, AL 35214-4877

Phone 205-335-0644

Mailing address

1972 Huntington Ln
Birmingham, AL 35214-4877

Phone 205-335-0644

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