Individual
CARMEN CATHERINE TATLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
24582 DEL PRADO, STE C, DANA POINT, CA 92629-3843
(949) 443-0713
(949) 443-0721
Mailing address
5 CARLSBAD LN, ALISO VIEJO, CA 92656-6070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT32991
PT STATE LICENSE
CA
Enumeration date
08/31/2006
Last updated
10/09/2013
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