Doctor Name: | MR. THOMAS JOSEPH CANTWELL |
NPI Number: | 1588962294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | PT22730 |
Business Practice Address: | 495 Napa Ave Apt 2 Morro Bay, CA - 934422563 |
Business Phone Number: | 2064141938 |
Business Fax Number: | |
Mailing Address: | Po Box 1144, MORRO BAY |
State: | CA |
Postal Code: | 934431144 |
Phone Number: | 2064141938 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2011 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | PT22730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |