Individual
MISS JENNIFER CARPENTER TRIVETTE
Active
Individual
MISS JENNIFER CARPENTER TRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11230218
CAQH
NC
01
—
140G1
BCBS
NC
05
—
7301825
—
NC
01
—
9299152
PHCS
—
01
—
E4050
MEDCOST
NC
Enumeration date
02/02/2006
Last updated
06/20/2013
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