Individual
MRS. VANESSA GAY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1381 CAMPBELL LN, BOWLING GREEN, KY 42104-1049
(270) 843-0587
Mailing address
1444 PONDSVILLE KEPLER RD, SMITHS GROVE, KY 42171-6221
(270) 799-9703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3293
KY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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