Individual
MARSHA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 BRISTOL HWY, JOHNSON CITY, TN 37601-1515
(423) 282-3311
Mailing address
210 LANDON TRL, JONESBOROUGH, TN 37659-5385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
077125884
TN
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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