Individual
CARLY LYNN POUTTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1605 HOPE ST STE 100, SOUTH PASADENA, CA 91030-2647
(626) 737-6735
Mailing address
1539 4TH ST APT 306, SANTA MONICA, CA 90401-3363
(330) 807-9045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300872
CA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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