Individual
MRS. CARLY MARIE RORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2548 S YOUNG CT, SAN BERNARDINO, CA 92408-4197
(909) 810-8282
Mailing address
2548 S YOUNG CT, SAN BERNARDINO, CA 92408-4197
(909) 810-8282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
294027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294027
PHYSICAL THERAPY LICENSE NUMBER
CA
Enumeration date
02/25/2021
Last updated
02/25/2021
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