Individual
MS. CARISSA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(513) 309-5078
Mailing address
3064 FERGUSON RD FL 2, CINCINNATI, OH 45238-2434
(513) 309-5078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008550
OH
225X00000X
Occupational Therapist
Primary
262853
KY
Other
Enumeration date
02/15/2020
Last updated
07/13/2020
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