Individual
BARBARA JEAN BOUTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3070 MADISON ST, CARLSBAD, CA 92008-2310
(760) 434-6100
(760) 434-4583
Mailing address
3070 MADISON ST, CARLSBAD, CA 92008-2310
(760) 591-7750
(760) 294-9813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Enumeration date
05/05/2006
Last updated
08/30/2022
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