Individual
DAJUAN WESLEY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5070 LAMME RD, MORAINE, OH 45439-3266
(937) 293-7703
Mailing address
182 MICHIGAN AVE # B, WILMINGTON, OH 45177-1327
(614) 425-9495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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