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Individual
MATTHEW CARTER
Active
Individual
MATTHEW CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62131
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-4880
PHYSICAL THERAPY LICENSE
ID
Enumeration date
11/14/2016
Last updated
09/11/2023
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