Individual
MR. MICHAEL DUANE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
840 LEE RD, FOLLANSBEE, WV 26037-1783
(304) 527-1100
Mailing address
14 LEE DR, WHEELING, WV 26003-1616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002246
WV
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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