Individual
KAITLYN LEEANN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1300 BRIDGE BARRIER RD STE 3, CAROLINA BEACH, NC 28428-3939
(910) 636-3574
Mailing address
1300 BRIDGE BARRIER RD STE 3, CAROLINA BEACH, NC 28428-3939
(910) 636-3574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20891
NC
Other
Enumeration date
11/19/2021
Last updated
01/15/2023
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