Individual
BECKIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 VIKI CT, SCOTTS VALLEY, CA 95066-4153
(831) 440-1806
Mailing address
149 VIKI CT, SCOTTS VALLEY, CA 95066-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29551
CA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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