Individual
AMBER CHEREE ELLIS-CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1890 GOODMAN RD E STE 201, SOUTHAVEN, MS 38671-9504
(901) 830-9899
Mailing address
1890 GOODMAN RD E STE 201, SOUTHAVEN, MS 38671-9504
(901) 830-9899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2256
MS
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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