Individual
JOSEPH LAWRENCE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
808 S TWYCKENHAM DR, SOUTH BEND, IN 46615-1134
(574) 283-7700
Mailing address
2732 THE ROYAL HUNTSMAN CT, SOUTH BEND, IN 46637-5037
(607) 368-4634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003282A
IN
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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