Individual
BRIAN RICHARD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 N. PIEDRAS ST., EL PASO, TX 79920
(614) 371-8434
Mailing address
2913 ROCKY RIDGE DR, EL PASO, TX 79904-2420
(614) 371-8434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018930
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2019
Last updated
11/25/2020
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