Individual
CARLIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5118 PARK AVE STE 209, MEMPHIS, TN 38117-5722
(901) 495-2320
Mailing address
5118 PARK AVE STE 216, MEMPHIS, TN 38117-5722
(901) 495-2320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6947
TN
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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