Individual
MS. TRISTEN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 FELLOWSHIP HOME LN, VALDOSTA, GA 31602-6008
(229) 244-9200
Mailing address
6462 GEORGE RD, LAKE PARK, GA 31636-2506
(229) 412-9984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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