Individual
MRS. MARYJO LOUISE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
75 MCMILLEN DRIVE, NEWARK, OH 43055
(740) 344-0357
(740) 344-6525
Mailing address
75 MCMILLEN DRIVE, NEWARK, OH 43055
(740) 344-0357
(740) 344-6525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3050
OH
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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