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Individual

MR. JOE BOB CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
988 OAK RIDGE TPKE STE 100A, OAK RIDGE, TN 37830-6919
(865) 425-4388
(865) 425-8677
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(865) 584-4747
(865) 212-3718

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11260
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q028892
TN
Enumeration date
05/31/2017
Last updated
01/22/2025
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