Individual
MR. DANA S CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
300 HOSPITAL ST, MOULTON, AL 35650-1268
(256) 974-1146
Mailing address
1450 HYDE DR, RUSSELLVILLE, AL 35654-3229
(256) 974-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA464
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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