| Organization Name: | CARLSON THERAPY NETWORK, PC |
| NPI Number: | 1114979226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD E. CARLSON (CEO) |
| Mailing Address: | 130b Grove St Administration New Milford |
| State: | CT US |
| Postal Code: | 067763668 |
| Phone Number: | 8607996320 |
| Fax Number: | 8607996621 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |