Individual
MANDY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1344
Mailing address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4245
SC
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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