Individual
MARIE CLAUDIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20211 PATIO DR STE 205, CASTRO VALLEY, CA 94546-4338
(510) 537-3991
Mailing address
1244 LAKE ST, MILLBRAE, CA 94030-2926
(323) 819-5223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51399
CA
Other
Enumeration date
08/20/2021
Last updated
08/24/2021
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