Individual
CASEY LOREN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
(570) 723-3753
Mailing address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005330
PA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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