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Individual

CARRIE ELIZABETH PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
30 MITCHELL BLVD, SAN RAFAEL, CA 94903-2034
(415) 624-9314
Mailing address
65 TRELLIS DR, SAN RAFAEL, CA 94903-3326
(415) 624-9314

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29565
CA
2251P0200X
Pediatric Physical Therapist
Primary
29565
CA

Other

Enumeration date
12/20/2007
Last updated
09/05/2024
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