Individual
MRS. APRIL MELISSA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 NEELY LN, CANYON, TX 79015-6470
(806) 216-0738
Mailing address
22 NEELY LN, CANYON, TX 79015-6470
(806) 216-0738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40189
SAMARITAN MINISTRIES
TX
Enumeration date
07/31/2015
Last updated
07/31/2015
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