Provider Demographics
NPI:1437332111
Name:BALE, CARLYN ANNE (DPT)
Entity Type:Individual
Prefix:MS
First Name:CARLYN
Middle Name:ANNE
Last Name:BALE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CARLYN
Other - Middle Name:ANNE
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1850 M ST NW
Mailing Address - Street 2:SUITE 750
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5803
Mailing Address - Country:US
Mailing Address - Phone:202-835-2222
Mailing Address - Fax:202-969-1798
Practice Address - Street 1:1850 M ST NW
Practice Address - Street 2:SUITE 750
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5803
Practice Address - Country:US
Practice Address - Phone:202-835-2222
Practice Address - Fax:202-969-1798
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist