Individual
JACK CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 943-8977
(509) 943-6151
Mailing address
2839 W KENNEWICK AVE # 550, KENNEWICK, WA 99336-2927
(509) 783-8977
(509) 783-6151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60151910
WA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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