Individual
TINA MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 W HEALTH CENTER DR, NAGS HEAD, NC 27959-8943
(252) 441-3116
(252) 449-9388
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
9103
NC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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