Individual
RYAN MATTHEW CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
116 FOXBANK PLANTATION BLVD STE E, MONCKS CORNER, SC 29461-6706
(843) 761-4622
(843) 761-4625
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297667
CA
Other
Enumeration date
11/11/2019
Last updated
05/01/2023
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