Individual
CARRIE ANN LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
1630 RIDGEWAY ST, OCEANSIDE, CA 92054-5637
(760) 688-9089
Mailing address
403 ALI WAY, FALLBROOK, CA 92028-3900
(760) 535-9815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT248700
BLUE SHIELD
CA
01
—
P01453018
RR MEDICARE
CA
Enumeration date
12/07/2005
Last updated
09/07/2023
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