Most Relevant Information
Provider Data
NPI Number: | 1003421199 |
Provider Name: | NICOLE CARPENTER PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | PT36079 |
Most Important Dates
Enumeration Date: | 09/15/2020 |
Last Updated: | 07/05/2021 |
Provider Practice Location
8119 S ORANGE AVE STE 132
ORLANDO
FL
328096706
Practice Location Phone/Fax
Phone: | 4078510883 |
Fax: |
Provider Mailing Location
8119 S ORANGE AVE STE 132
ORLANDO
FL
328096706
Provider Mailing Phone/Fax
Phone: | 4078510883 |
Fax: |