Whalio Doctors

NPI 1124772405

Kevin Christopher Carney, PTA

Practitioner Physical Therapy Assistant Vista, CA

Practice location

Address
1958 Via Ctr, Vista, CA 92081-6056
Phone
(760) 477-1350
Fax
(760) 754-6785
Mailing address
3905 Waring Rd, Oceanside, CA 92056-4405

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 51589 (CA)

Registry record

NPI
1124772405
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Feb 2022
Record last updated
7 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.