Individual
MS. CARLA WESTON CARPENTER-BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
21 CROSSROADS DR, SUITE 450, OWINGS MILLS, MD 21117-5441
(410) 581-8140
(410) 356-0885
Mailing address
7310 RITCHIE HWY, SUITE 500, GLEN BURNIE, MD 21061-3065
(410) 766-4047
(410) 766-4049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17806
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227925ZAVL
MEDICARE PTAN
MD
Enumeration date
03/29/2007
Last updated
05/16/2016
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