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NPI Code Detail

MEDICARE: CHRISTIE DIANE KARLE PHYSICAL THERAPIST

MEDICARE: CHRISTIE DIANE KARLE PHYSICAL THERAPIST
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
1225100000XPhysical TherapistPT27527CA

General Provider Information

NPI Number : 1225013303
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE DIANE KARLE PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 5962 LA PLACE CT
Second Line : STE 170
City : CARLSBAD
State : CA
Zip : 92008-8807
Country : US
Telephone Number : 800-929-4776
Fax Number : 760-931-8370
Provider Business Practice Location Address
First Line : 5772 BOLSA AVE
Second Line : STE 101
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1134
Country : US
Telephone Number : 714-897-3589
Fax Number : 714-897-1316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2005
Last Update Date : 07/08/2007

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Directions to “ CHRISTIE DIANE KARLE PHYSICAL THERAPIST” Practice Location

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