Individual
KERRY JOY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
977 ROYAL AVE, MEDFORD, OR 97504-6140
(541) 245-4444
(541) 779-0217
Mailing address
977 ROYAL AVE, MEDFORD, OR 97504-6140
(541) 245-4444
(541) 779-0217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1644
OR
Other
Enumeration date
07/22/2005
Last updated
10/06/2016
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