Individual
ANGELA RAE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9111 FLETCHER DR, LA MESA, CA 91941-4402
(619) 741-8676
Mailing address
9111 FLETCHER DR, LA MESA, CA 91941-4402
(619) 741-8676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4969
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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