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Individual

CARMEN MARIE CARLSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(858) 966-5829
Mailing address
6789 FRENATA PL, CARLSBAD, CA 92011-4061
(760) 918-2499

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6233
CA

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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