Individual
CHRISTA MARIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 WAYZATA BLVD, WAYZATA, MN 55391-2047
(952) 473-1261
Mailing address
9184 W 126TH ST, SAVAGE, MN 55378-1182
(952) 393-2846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106132
MN
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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