Organization
CAN DO KIDS PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEY CARPENTER LOTR (OWNER)
(618) 599-2295
Entity
Organization
Contact information
Practice address
613 SIMPSON ST, BENTON, LA 71006-8314
(618) 599-2295
Mailing address
613 SIMPSON ST, BENTON, LA 71006-8314
(618) 599-2295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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