Individual
MR. PAUL JEROME CARR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
5818 ALLENTOWN WAY, CAMP SPRINGS, MD 20748-2614
(301) 404-7646
Mailing address
6019 N HIL MAR CIR, FORESTVILLE, MD 20747-2968
(301) 404-7646
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
18753MD
MD
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
18753MD
MD
2255A2300X
Athletic Trainer
18753MD
MD
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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