Individual
ROY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5827 HIGHWAY 90, MILTON, FL 32583-1763
(850) 983-8583
(850) 983-8973
Mailing address
1153 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4835
(850) 932-6382
(850) 932-9215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18825
FL
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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