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Individual
MR. MICHAEL DAVID CARR
Active
Individual
MR. MICHAEL DAVID CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013071L
PA
2255A2300X
Athletic Trainer
RT001868A
PA
Other
Enumeration date
03/31/2010
Last updated
07/25/2019
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