Individual
MR. JASON JEFFREY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423-9386
(815) 469-1500
Mailing address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008239
IL
Other
Enumeration date
12/08/2018
Last updated
11/28/2022
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