| Organization Name: | BARBARA JEAN BOUTELLE/CARLSBAD PHYSICAL THERAPY |
| NPI Number: | 1033167366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA JEAN BOUTELLE (OWNER/SECRETARY) |
| Mailing Address: | 850 Main St Ste. 105 Ramona |
| State: | CA US |
| Postal Code: | 920651968 |
| Phone Number: | 7607891424 |
| Fax Number: | 7607891463 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 10/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |