Individual
CHRISTINA M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 AIRLINE RD, COLUMBUS, MS 39702-6348
(662) 327-9404
Mailing address
717 NORTH ST, COLUMBUS, MS 39702-5421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4169
MS
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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