Individual
MS. PHYLLIS ANN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
176 E WALNUT ST, WADSWORTH, OH 44281-1366
(330) 590-7320
Mailing address
176 E WALNUT ST, WADSWORTH, OH 44281-1366
(330) 590-7320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16116
OH
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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