PHILLIP D CARPENTER

SHREVEPORT, LA
NPI1629275847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  Z11082)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
PHILLIP D CARPENTER OT
1418 CROSS LAKE CIRLE
SHREVEPORT, LA 71109-1935
Phone number: 318-635-2044
Mailing Address
PHILLIP D CARPENTER OT
1418 CROSS LAKE CIR
SHREVEPORT, LA 71109-1935
Phone number: 318-635-2044
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