Individual
MARYSA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4645
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4645
LICENSE
AR
Enumeration date
08/26/2019
Last updated
03/23/2020
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