Individual
CAROLINE A TEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2777 BRISTOL ST STE B, COSTA MESA, CA 92626-5997
(949) 250-1112
(949) 250-1404
Mailing address
2777 BRISTOL ST STE B, COSTA MESA, CA 92626-5997
(951) 440-1916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT296320
CA
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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