Healthcare Provider Details

I. General information

NPI: 1043307200
Provider Name (Legal Business Name): CARNAHAN THERAPY/THE WORK CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E WALNUT AVE
LOMPOC CA
93436-7027
US

IV. Provider business mailing address

805 E WALNUT AVE
LOMPOC CA
93436-7027
US

V. Phone/Fax

Practice location:
  • Phone: 805-735-3714
  • Fax: 805-736-6392
Mailing address:
  • Phone: 805-735-3714
  • Fax: 805-736-6392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierGPT000450
Identifier TypeMEDICAID
Identifier StateCA
Identifier Issuer
# 2
IdentifierGCT000250
Identifier TypeMEDICAID
Identifier StateCA
Identifier Issuer

VIII. Authorized Official

Name: JUANITA L. CARNAHAN
Title or Position: PRESIDENT
Credential: P.T.
Phone: 805-735-3714