PETER CARRASCO - NPI 1396068219 - Rehabilitation Practitioner in Glendora, CA

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

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About Peter Carrasco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER CARRASCO (NPI 1396068219) is an individual rehabilitation practitioner in Glendora, California and active in the NPI registry since March 2010.

NPI1396068219

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NamePETER CARRASCO

Location Address1160 S GRAND AVEGlendora, CA 91740-5000

Mailing AddressPo Box 473Lake Forest, CA 92609-0473

Sole ProprietorYes

Enumeration DateMarch 5, 2010

✔ NPI 1396068219 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

1160 S GRAND AVE, Glendora, CA 91740

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)