Individual
CARLA BETH ODWALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
200 W SANTA ANA BLVD, SANTA ANA, CA 92701-4134
(714) 720-1719
(714) 347-0499
Mailing address
24275 ENSENADA LN, MISSION VIEJO, CA 92691-4434
(949) 584-0454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7276
CA
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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