Individual
MS. CONSTANCE E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6133 BRISTOL PKWY, SUITE 200, CULVER CITY, CA 90230-6609
(310) 337-7600
Mailing address
10758 MOLONY RD, CULVER CITY, CA 90230-5449
(310) 839-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13019
CA
Other
Enumeration date
11/15/2008
Last updated
01/31/2015
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