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Organization

BARBARA JEAN BOUTELLE/CARLSBAD PHYSICAL THERAPY

Active
Other names
Eastlake Physical Therapy and HandCenter
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA JEAN BOUTELLE M.P.T. (OWNER/SECRETARY)
(760) 591-7750
Entity
Organization

Contact information

Practice address
891 KUHN DR, STE. 101, CHULA VISTA, CA 91914-3551
(619) 656-6470
(619) 656-6614
Mailing address
600 S ANDREASEN DR, STE C, ESCONDIDO, CA 92029-1917
(760) 591-7750
(760) 294-9813

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CA
2251H1200X
Hand Physical Therapist
CA
225XH1200X
Hand Occupational Therapist
CA

Other

Enumeration date
05/05/2006
Last updated
10/20/2008
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