Individual
BRENDON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3699 NW 32ND ST, NEWCASTLE, OK 73065-6559
(405) 387-5520
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1335669
TX
225100000X
Physical Therapist
Primary
203463
OK
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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