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Wendy Carpenter

Individual provider Active NPI Occupational Therapist · Centreville, MD

NPI 1982173316 · NPPES record last updated Nov 14, 2018

Key facts

NPI
1982173316
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
03258 (MD)
Practice address
202 Chesterfield Ave
Centreville, MD 21617-1308
Phone
(410) 758-2403
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03258MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Queen Anne'S County Board of Education Past Accepting new patients
Queen Anne'S County Board of Education Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 03258 MD Yes

Addresses

Primary practice location

202 Chesterfield Ave
Centreville, MD 21617-1308

Mailing address

111 Holly CT
Stevensville, MD 21666-3351

Other providers in Centreville, MD

All providers in Centreville, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.