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MRS. SHANE C CARPENTER DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1992943823
Individual Registrant:MRS. SHANE C CARPENTER DPT
Gender: F
Not Sole Proprietor
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: --
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: --
Tel: 760-479-9801 Fax: --
Registration Information:
NPI: 1992943823
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 35208 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
