Organization
CARNAHAN THERAPY THE WORK CENTER, INC.
Active
Other names
Carnahan Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA L. CARNAHAN P.T. (CLINIC DIRECTOR)
(805) 735-3714
Entity
Organization
Contact information
Practice address
217 W CENTRAL AVE, LOMPOC, CA 93436-2830
(805) 737-4604
(805) 737-4606
Mailing address
805 E WALNUT AVE, LOMPOC, CA 93436-7027
(805) 737-4604
(805) 737-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6428A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCT000250
—
CA
Enumeration date
03/19/2007
Last updated
08/22/2020
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