Individual
ERIC CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NE SKYLINE DR, WHITE SALMON, WA 98672-1948
(509) 493-1101
Mailing address
PO BOX 99, WHITE SALMON, WA 98672-0099
(509) 493-1101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60584947
WA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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