Individual
CARRIE J HARTPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1415 MAPLE ST, EUDORA, KS 66025-9419
(615) 896-6400
Mailing address
2000 HIDDEN VALLEY CT, TONGANOXIE, KS 66086-4364
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800236
KS
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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