Individual
CARL ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
8939 LA MESA BLVD, STE 1, LA MESA, CA 91942-9057
(619) 464-1352
(619) 464-7255
Mailing address
1562 RUBENSTEIN AVE, CARDIFF, CA 92007-2436
(619) 464-1352
(619) 464-7255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT011245
REG PHYSICAL THERAPIST
CA
Enumeration date
10/12/2006
Last updated
10/26/2010
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