Doctor Name: | MR. JEFFREY CHARLES CARLSON |
NPI Number: | 1093896813 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 16796 |
Business Practice Address: | 1208b Vfw Pkwy Suite 202 West Roxbury, MA - 021324349 |
Business Phone Number: | 6173257246 |
Business Fax Number: | 6173257282 |
Mailing Address: | 1208b Vfw Pkwy, Suite 202 WEST ROXBURY |
State: | MA |
Postal Code: | 021324349 |
Phone Number: | 6173257246 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |