Individual
JACQUELINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4201 SPRING VALLEY STE 600, DALLAS, TX 75244-1209
(469) 809-3665
Mailing address
31B BRIAR FOREST DR, LUGOFF, SC 29078-9586
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6676
SC
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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