Blue, Carla

Blue, Carla is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston Salem NC 27103-6946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Blue, Carla can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
170 Kimel Park Dr Winston Salem NC 27103-6946
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0348 North Carolina

Profile Details

NPI number 1952730657
LBN Legal business name Blue, Carla
Credentials OT/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Jun 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952730657 NPPES
North Carolina Other 0348 NC BOARD OF OCCUPATIONAL THERAPY

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