Individual
WENDY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHESTERFIELD AVE, CENTREVILLE, MD 21617-1308
(410) 758-2403
Mailing address
111 HOLLY CT, STEVENSVILLE, MD 21666-3351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03258
MD
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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