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NPI Code Detail

MEDICARE: JUSTIN AARON CARR PT

MEDICARE:   JUSTIN AARON CARR  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPT24997CA

General Provider Information

NPI Number : 1447940978
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN AARON CARR PT
Provider Business Mailing Address
First Line : 5237 T ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-4838
Country : US
Telephone Number : 916-212-6676
Fax Number :
Provider Business Practice Location Address
First Line : 5237 T ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-4838
Country : US
Telephone Number : 916-212-6676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 05/09/2023

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Directions to “ JUSTIN AARON CARR PT” Practice Location

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