Renee Carlson, P.T. Valid NPI
Individual provider · Physical Therapist · La Jolla, CA
- NPI
- 1164515177
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT16834 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Practice location
9404 Genesee Ave, Suite 310
La Jolla, CA 92037-1339
(858) 455-1195