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Individual

ANTHONY CARRASQUILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
78078 COUNTRY CLUB DR, BERMUDA DUNES, CA 92203-8173
(760) 345-9934
(760) 345-3086
Mailing address
11 JODIRO LN, APT 102, ALBANY, NY 12205-2554
(518) 248-1521

Taxonomy

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

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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