Organization
CARLSON PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JAMES CARLSON PT (PRESIDENT)
(949) 713-7939
Entity
Organization
Contact information
Practice address
8 YELLOWPINE LN, TRABUCO CANYON, CA 92679-1420
(949) 713-7939
Mailing address
8 YELLOWPINE LN, TRABUCO CANYON, CA 92679-1420
(949) 713-7939
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
19033
CA
Other
Enumeration date
08/21/2006
Last updated
02/28/2013
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