Individual
MICHELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7370 CABOT CT STE 101, MELBOURNE, FL 32940-8263
(321) 622-8792
Mailing address
2998 CORTONA DR, VIERA, FL 32940-8607
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT11641
FL
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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