Individual
MISS KYLIE RENEE CARBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2506 JOHNSTON STREET, LAFAYETTE, LA 70506
(337) 981-9940
Mailing address
P.O. BOX 60460, LAFAYETTE, LA 70596-0460
(337) 981-9940
(888) 421-9803
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
08136
LA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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