Doctor Name: | CARLA RENEE CARRILLO-KING |
NPI Number: | 1053547893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 1650 Cochrane Circle Fort Carson Meddac- Building #t7530 Physical Therapy Fort Carson, CO - 80913 |
Business Phone Number: | 7195267048 |
Business Fax Number: | 7195267072 |
Mailing Address: | 6756 Wild Indigo Drive, COLORADO SPRINGS |
State: | CO |
Postal Code: | 80923 |
Phone Number: | 7195267949 |
Fax Number: | 7195267072 |
NPI Enumeration Date: | 06/08/2009 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |