Individual
AMANDA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 GAUSE BLVD E, SLIDELL, LA 70461-4223
(985) 781-4545
Mailing address
10 S 9TH ST STE 4, NOBLESVILLE, IN 46060-2631
(765) 524-3946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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