Individual
TALLEY DYAN THOMPSON CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2828 S MCCALL RD STE 25, ENGLEWOOD, FL 34224-9517
(941) 474-2700
(941) 447-4808
Mailing address
3657 CORTEZ RD W STE 110, BRADENTON, FL 34210-3171
(941) 474-2700
(941) 474-8081
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT33359
FL
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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