Individual
MISS CARLOTA JOVEN CARACUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6801 LEISURE TOWN RD APT 127, VACAVILLE, CA 95688-9446
(707) 392-8895
Mailing address
6801 LEISURE TOWN RD APT 127, VACAVILLE, CA 95688-9446
(707) 392-8895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
FL10189
FL
225100000X
Physical Therapist
PT25294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8825247200
—
FL
01
—
E2389
MEDICARE PART B
FL
Enumeration date
11/01/2008
Last updated
01/17/2019
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