Individual
TAMMY D CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12387 SUGAR MILL DR, GEISMAR, LA 70734-3253
(318) 355-6201
Mailing address
12387 SUGAR MILL DR, GEISMAR, LA 70734-3253
(318) 355-6201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.Z20123
LA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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