Individual
CARA LYNN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1618 S MILLENIUM WAY STE 101, MERIDIAN, ID 83642-6457
(208) 884-4647
(208) 884-8984
Mailing address
615 E STAKE ST, STE 101, EAGLE, ID 83616
(208) 939-9594
(208) 939-9828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008586
GA
225100000X
Physical Therapist
Primary
PT1664
ID
Other
Enumeration date
07/24/2008
Last updated
07/29/2019
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