Individual
BRENT CARPESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
Mailing address
22718 E SILVER CREEK LN, QUEEN CREEK, AZ 85142-8949
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013412
AZ
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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