Ms Constance E Carlson, PT | |
6133 Bristol Pkwy, Suite 200, Culver City, CA 90230-6609 | |
(310) 337-7600 | |
Not Available |
Full Name | Ms Constance E Carlson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 45 Years |
Location | 6133 Bristol Pkwy, Culver City, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629222799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 13019 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nrp Physical Therapy Corp. | 2163709544 | 5 |
Provider Name | Nrp Physical Therapy Corp. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477086643 PECOS PAC ID: 2163709544 Enrollment ID: O20170512001229 |
Mailing Address | Practice Location Address |
---|---|
Ms Constance E Carlson, PT 10758 Molony Rd, Culver City, CA 90230-5449 Ph: (310) 839-2155 | Ms Constance E Carlson, PT 6133 Bristol Pkwy, Suite 200, Culver City, CA 90230-6609 Ph: (310) 337-7600 |
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