Individual
MRS. LAURIE CARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
615 RUDD AVE, CANON CITY, CO 81212-3353
(303) 807-6065
Mailing address
615 RUDD AVE, CANON CITY, CO 81212-3353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0006886
CO
225100000X
Physical Therapist
5390
SC
225100000X
Physical Therapist
CP022011T
VA
Other
Enumeration date
01/09/2010
Last updated
09/12/2025
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