| NPI | 1467698894 |
|---|---|
| Former Name | GAIL CHRISTINE CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004931) |
| 225100000X Physical Therapist (Licence: IA 03890) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2021-05-07 |