Individual
AMIE RENEE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Mailing address
RR 1 BOX 87 C, FAIRMONT, WV 26554-9716
(304) 534-5494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001279
WV
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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