Provider Demographics
NPI:1578987426
Name:MICHEL, CAROLYN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:MICHEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:RUFCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9700 KIRKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035
Mailing Address - Country:US
Mailing Address - Phone:303-817-0063
Mailing Address - Fax:310-845-9691
Practice Address - Street 1:3283 MOTOR AVENUE
Practice Address - Street 2:COMPLETEPT POOL & LAND PHYSICAL THERAPY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034
Practice Address - Country:US
Practice Address - Phone:310-845-9690
Practice Address - Fax:310-845-9691
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA408042251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic