Individual
MRS. KATHLEEN D CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
909 BENCH CT, ANCHORAGE, AK 99504-1652
(907) 337-2923
Mailing address
909 BENCH CT, ANCHORAGE, AK 99504-1652
(907) 337-2923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 261
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 261
AK STATE LICENSE NUMBER
AK
05
—
PT0261
—
AK
Enumeration date
02/04/2007
Last updated
07/09/2007
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