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Individual

CARLA GIOVANNA BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
(619) 269-0674
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0674

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295131
CA

Other

Enumeration date
09/06/2018
Last updated
01/02/2022
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