Individual
ALEXANDER TAITE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L-ATC
Contact information
Practice address
2069 WILLISTON ROAD AP #2, SOUTH BURLINGTON, VT 05403
(802) 497-3240
Mailing address
2069 WILLISTON ROAD AP #2, SOUTH BURLINGTON, VT 05403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0133877
VT
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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