Most Relevant Information
Provider Data
| NPI Number: | 1003195405 |
| Provider Name: | TIMOTHY CARPENTER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1125466 |
Most Important Dates
| Enumeration Date: | 08/16/2011 |
| Last Updated: | 08/16/2011 |
Provider Practice Location
4301 HOSPITAL DR
VERNON
TX
763843135
Practice Location Phone/Fax
| Phone: | 9405522568 |
| Fax: | 9405526256 |
Provider Mailing Location
4301 HOSPITAL DR
VERNON
TX
763843135
Provider Mailing Phone/Fax
| Phone: | 9405522568 |
| Fax: | 9405526256 |