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Individual

LAURA CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
812 SIDNEY ST, BAY CITY, MI 48706-3873
(989) 430-8406
Mailing address
812 SIDNEY ST, BAY CITY, MI 48706-3873
(989) 430-8406

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009104
MI
225X00000X
Occupational Therapist
OT16850
FL

Other

Enumeration date
07/08/2015
Last updated
10/28/2016
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