Individual
CAROL ANNE PENTLARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
(760) 688-3131
Mailing address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
(760) 688-3131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT3367
LICENSE NUMBER
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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