Mary Carlson, LMT

NPI #1730476300 in San Diego, California

Provider Information

NPI Number: 1730476300
Entity Type: Individual
Name: Mary Carlson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 3023 BUNKER HILL ST
Address 2: #201
City: San Diego
State: California
ZIP Code: 92109-5706
Phone: (619) 977-6491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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