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1700421054
RYAN MATTHEW CARPENTER
MONCKS CORNER, SC
NPI
1700421054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 297667)
Enumeration Date
2019-11-11
Last Update Date
2023-05-01
Business Address
RYAN MATTHEW CARPENTER DPT
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461-6706
Phone number: 843-761-4622
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Mailing Address
RYAN MATTHEW CARPENTER DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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