Provider Demographics
NPI:1922874866
Name:PRINCE, CARINNA (DPT)
Entity Type:Individual
Prefix:
First Name:CARINNA
Middle Name:
Last Name:PRINCE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6451 EL CAMINO REAL STE B2
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-2800
Mailing Address - Country:US
Mailing Address - Phone:858-755-5200
Mailing Address - Fax:760-804-1400
Practice Address - Street 1:6451 EL CAMINO REAL STE B2
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-2800
Practice Address - Country:US
Practice Address - Phone:858-755-5200
Practice Address - Fax:760-804-1400
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist