Individual
SHANNA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 LINDSAY LN, MARSHALL, NC 28753-5599
(304) 550-7295
Mailing address
91 LINDSAY LN, MARSHALL, NC 28753-5599
(304) 550-7295
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1125
WV
225XP0200X
Pediatric Occupational Therapist
4433
NC
Other
Enumeration date
11/17/2015
Last updated
12/01/2021
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