Organization
ADVANCED WOUND CARE PC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LYNN CARPENTER MPT (OWNER)
(303) 940-1611
Entity
Organization
Contact information
Practice address
4045 WADSWORTH BLVD, SUITE 10, WHEAT RIDGE, CO 80033-4642
(303) 940-1611
(303) 432-2296
Mailing address
4045 WADSWORTH BLVD, SUITE 10, WHEAT RIDGE, CO 80033-4642
(303) 940-1611
(303) 432-2296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7998
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093763849
INDIVIDUAL NPI
—
Enumeration date
06/07/2011
Last updated
06/07/2011
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