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Individual

ADAM CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
229 SEABROOK RD, ADA, OK 74820
(580) 310-6635
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5569
OK

Other

Enumeration date
08/07/2018
Last updated
08/21/2018
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