Individual
CARLA RAE CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
323 N COMMERCIAL ST, TRINIDAD, CO 81082-2611
(719) 846-6886
(719) 846-8629
Mailing address
709 S MAPLE ST, TRINIDAD, CO 81082-3350
(719) 846-7754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-9504
CO
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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