Individual
STEPHANIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
500 TIGER BLVD, BENTONVILLE, AR 72712-4208
(479) 254-5065
(479) 271-1123
Mailing address
1301 NE 3RD ST, BENTONVILLE, AR 72712-5508
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2335
AR
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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