Individual
ANNA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 ELLIOTT DR, ROCHELLE, IL 61068-9737
(224) 307-5912
Mailing address
104 ELLIOTT DR, ROCHELLE, IL 61068-9737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
493367
OR
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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