Individual
MS. CHRISTINE RENE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4154
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25523
CA
Other
Enumeration date
05/23/2007
Last updated
07/13/2007
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