Individual provider · Type 1 NPI

Jessica Rae Carson, BSW

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1689054405 Active

Practice location

8939 S Sepulveda Blvd, Suite 460
Los Angeles, CA 90045-3631

Mailing address

4550 Montair Ave, #F20
Long Beach, CA 90808-1259

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XUNLICENSED

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1689054405

Jessica Rae Carson, BSW's National Provider Identifier is 1689054405, issued on Jun 6, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 20, 2016.