Individual
CARA RADEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Contact information
Practice address
550 SAINT CHARLES DR, SUITE #100, THOUSAND OAKS, CA 91360-3951
(805) 777-1023
(805) 777-3496
Mailing address
550 SAINT CHARLES DR, SUITE #100, THOUSAND OAKS, CA 91360-3951
(805) 777-1023
(805) 777-3496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL433Z
MEDICARE PTAN
CA
Enumeration date
07/12/2010
Last updated
01/10/2012
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