Individual
CAROL ANN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4475 DUPONT CT, SUITE 9, VENTURA, CA 93003-7745
(805) 477-0939
(805) 477-0999
Mailing address
PO BOX 2396, CAMARILLO, CA 93011-2396
(805) 844-9565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8513
LICENSE#
CO
01
—
PT 6812
CALIFORNIA LICENSE
CA
Enumeration date
06/25/2007
Last updated
06/29/2012
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