Provider Demographics
NPI:1386880482
Name:COMPTON, CATHLEEN CARSON (PT)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:CARSON
Last Name:COMPTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 W PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-1881
Mailing Address - Country:US
Mailing Address - Phone:808-936-9838
Mailing Address - Fax:805-641-0463
Practice Address - Street 1:355 W PROSPECT ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-1881
Practice Address - Country:US
Practice Address - Phone:808-936-9838
Practice Address - Fax:805-641-0463
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-20
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist