Individual
EMILY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S LANDRUM ST, MOUNT VERNON, MO 65712-1726
(417) 466-7573
Mailing address
2396 W CANTEBURY ST, SPRINGFIELD, MO 65810-2373
(573) 741-9915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014037273
MO
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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