Individual
PHILLIP CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, LAGUNA HILLS, CA 92653-3616
(949) 837-5111
Mailing address
24275 TAHOE CT, LAGUNA NIGUEL, CA 92677-7024
(949) 294-9079
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
295742
CA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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