Individual
MRS. DIANE E. CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7759 N SILVERBELL RD APT 10105, TUCSON, AZ 85743
(520) 403-6192
Mailing address
7759 N SILVERBELL RD APT 10105, TUCSON, AZ 85743-8294
(520) 403-6192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
33333
CA
225100000X
Physical Therapist
Primary
LPT-30580
—
Other
Enumeration date
01/16/2007
Last updated
04/01/2019
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