Individual
INDIANA M CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8810 AVENUE J, BROOKLYN, NY 11236-3919
(718) 866-4569
Mailing address
816 PROSPECT PL APT 2B, BROOKLYN, NY 11216-4027
(689) 777-3881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011236
NY
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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