Individual
CAMRYN JADE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1607 S KNOXVILLE AVE, RUSSELLVILLE, AR 72802-2667
(479) 747-3738
Mailing address
1607 S KNOXVILLE AVE, RUSSELLVILLE, AR 72802-2667
(479) 747-3738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2103
AR
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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