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Barbara Jean Boutelle/Carlsbad Physical Therapy

Physical Therapist in Escondido, CA. Organization (NPI-2).

NPI number1083662407
StatusActive
Last updated in NPPESMar 3, 2022

Details

NPI
1083662407
Entity type
Organization (NPI-2)
Legal business name
Barbara Jean Boutelle/Carlsbad Physical Therapy
Organization subpart
No
Enumeration date
May 5, 2006
Certification date
Mar 3, 2022
Last updated
Mar 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–CAYes
225X00000X Occupational Therapist–CA
225XH1200X Occupational Therapist, Hand–CA

Other names

  • Valley Physical Therapy And Hand Center (Doing Business As)

Practice location

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027-2550

Phone 760-233-9655 · Fax 760-233-9648

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310

Phone 760-591-7750 · Fax 760-294-9813

Authorized official

Barbara Jean Boutelle
Owner/Secretary
7605917750

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