Laura Carpenter, PTA, LMT

NPI #1619482593 in Bradley, Illinois

Provider Information

NPI Number: 1619482593
Entity Type: Individual
Name: Laura Carpenter, PTA, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMT
Enumeration Date: Dec 13, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 517 E NORTH ST
City: Bradley
State: Illinois
ZIP Code: 60915-1258
Phone: (815) 802-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapy Assistant	225200000X	Primary

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