Renee Carlson P.T.

NPI 1164515177 - Physical Therapist - 225100000X

NPI Details
NPI 1164515177
Gender Female
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9404 GENESEE AVE
SUITE 310
LA JOLLA CA, 92037-1339, US
Phone (858) 455-1195
Fax (858) 455-7101
Business Location
9404 GENESEE AVE
SUITE 310
LA JOLLA CA, 92037-1339, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT16834
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According to our database, Renee Carlson P.T. NPI is 1164515177, taxonomy code is 225100000X and license number is PT16834, license state is located at California. Renee Carlson P.T. physically located at 9404 Genesee Ave, La Jolla CA, 92037-1339. NPI Number Renee Carlson P.T. has the Individual type.

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1164515177 NPI number is provided on an as is basis without warranty of any kind. 1164515177 is maintained by the National Plan & Provider Enumeration System. The contents of Renee Carlson P.T. are for informational purposes only.