Individual
CAROLYN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 FAULKS LN, FESTUS, MO 63028-3547
(314) 435-0052
Mailing address
101 FAULKS LN, FESTUS, MO 63028-3547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213215
TX
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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