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Individual

MICHELLE CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
9620 CHESAPEAKE DR, SUITE 105, SAN DIEGO, CA 92123-1369
(858) 505-9083
Mailing address
9620 CHESAPEAKE DR, SUITE 105, SAN DIEGO, CA 92123-1369
(858) 505-9083

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15101
CA

Other

Enumeration date
02/01/2016
Last updated
02/01/2016
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