Individual
NATHANIEL O CARPENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 E JAY ST, CARSON, CA 90745-3064
(310) 480-1109
Mailing address
218 E JAY ST, CARSON, CA 90745-3064
(310) 480-1109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54129
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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