Cristen L Carlson
Physical Therapist - Sports
6560 W Fullerton Ave
Chicago
, Illinois 60707-3439
Cristen L Carlson
Physical Therapist - Sports
6560 W Fullerton Ave
Chicago
, Illinois 60707-3439
(630) 296-2223
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Cristen L Carlson
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Phone : (630) 296-2223
Second Address
- Cristen L Carlson
- 6560 W Fullerton Ave
- Chicago, IL
- Zip : 60707-3439
- Phone : (773) 745-0338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 096002012 | IL |
National Provider Identifier
| NPI | 1497984629 |
|---|---|
| Provider Name | Cristen L Carlson |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Chicago, IL 60707-3439 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2009 |
| Last Update Date | 09/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.