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NPI Code Detail

MEDICARE: KATHY CARPENTER PT

MEDICARE: KATHY CARPENTER PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT2856FL

General Provider Information

NPI Number : 1902007503
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY CARPENTER PT
Provider Business Mailing Address
First Line : 1787 N WOODBURY CT
Second Line :
City : APOPKA
State : FL
Zip : 32712-2080
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 405 S SEMINOLE AVE
Second Line :
City : MINNEOLA
State : FL
Zip : 34715-5520
Country : US
Telephone Number : 352-394-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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Directions to “ KATHY CARPENTER PT” Practice Location

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