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Individual

CAROLYNN JESSAMYN WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
1335 COFFEE RD, MODESTO, CA 95355-3188
(209) 576-1946
Mailing address
1013 WOODROW AVE, MODESTO, CA 95350-1237
(760) 271-0328

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300847
CA

Other

Enumeration date
08/30/2021
Last updated
06/02/2022
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