| Doctor Name: | MR. BRIAN CARSON |
| NPI Number: | 1043542731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.P.T., C.S.C.S. |
| License Number: | 36468 |
| Business Practice Address: | 1464 Madera Rd Suite G Simi Valley, CA - 930653077 |
| Business Phone Number: | 8053061622 |
| Business Fax Number: | 8053061611 |
| Mailing Address: | 1464 Madera Rd, Suite G SIMI VALLEY |
| State: | CA |
| Postal Code: | 930653077 |
| Phone Number: | 8053061622 |
| Fax Number: | 8053061611 |
| NPI Enumeration Date: | 02/04/2010 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 36468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |