# CARLSON PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255446860
- **Authorized official:** MR. TIMOTHY JAMES CARLSON PT (PRESIDENT)
- **Authorized official phone:** (949) 713-7939

## Contact information

- **Practice address:** 8 YELLOWPINE LN, TRABUCO CANYON, CA 92679-1420
- **Practice address phone:** (949) 713-7939
- **Mailing address:** 8 YELLOWPINE LN, TRABUCO CANYON, CA 92679-1420
- **Mailing address phone:** (949) 713-7939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 19033 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/28/2013