| Doctor Name: | MRS. SHANE C CARPENTER |
| NPI Number: | 1992943823 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 35208 |
| Business Practice Address: | 2033 San Elijo Ave #111 Cardiff, CA - 920071726 |
| Business Phone Number: | 8314198856 |
| Business Fax Number: | |
| Mailing Address: | 1228 N Coast Highway 101 Ste 120, 1230 N Coast Highway 101, Suite 139 ENCINITAS |
| State: | CA |
| Postal Code: | 920241493 |
| Phone Number: | 7604799801 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2009 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 35208 |
| 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 |