Individual
PENELOPE J CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7406 NOLTON WAY, ORLANDO, FL 32822-4668
(407) 485-5388
Mailing address
7406 NOLTON WAY, ORLANDO, FL 32822-4668
(407) 485-5388
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH7672
FL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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