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MRS. SHANE C CARPENTER DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1992943823

Individual Registrant:
MRS. SHANE C CARPENTER DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2033 SAN ELIJO AVE #111 CARDIFF, CA 92007-1726 US
Tel: 831-419-8856  Fax: --

Contact information for business:
1228 N COAST HIGHWAY 101 STE 120 1230 N COAST HIGHWAY 101, SUITE 139 ENCINITAS, CA 92024-1493 US
Tel: 760-479-9801  Fax: --

Registration Information:
NPI: 1992943823
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA35208

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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