Carrillo, Heather Marie
Carrillo, Heather Marie is an individual health care provider with primary practice located at 5540 Lake Park Way , La Mesa CA 91942-1607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Carrillo, Heather Marie can be contacted via phone (619) 667-8644.Contact Information
Primary practice address
5540 Lake Park Way
La Mesa CA 91942-1607
Phone: (619) 667-8644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 28760 | California |
Profile Details
| NPI number | 1487616215 |
|---|---|
| LBN Legal business name | Carrillo, Heather Marie |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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