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Jonathan Rex Carlos, PTA
NPI 1033815949 · on the registry since 2023 · sole proprietor
Practice
- Address
- 10670 Slater Ave
Fountain Valley, CA 92708 - Phone
- (714) 586-2498
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California