Organization
BARBARA JEAN BOUTELLE/CARLSBAD PHYSICAL THERAPY
Active
Other names
Black Mountain Physical Therapy and Hand Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNA CHAVEZ (ADMIN. ASSISTANT)
(760) 591-7750
Entity
Organization
Contact information
Practice address
9888 CARMEL MOUNTAIN RD STE D, SAN DIEGO, CA 92129-2807
(760) 591-7750
(760) 471-5139
Mailing address
3070 MADISON ST, CARLSBAD, CA 92008-2310
(760) 591-7750
(760) 471-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
03/03/2022
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