Christa Marie Carpenter

NPI #1952940892 in Wayzata, Minnesota

Provider Information

NPI Number: 1952940892
Entity Type: Individual
Name: Christa Marie Carpenter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 1909 WAYZATA BLVD
City: Wayzata
State: Minnesota
ZIP Code: 55391-2047
Phone: (952) 473-1261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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