Individual
ALYSSA A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4058 E MAIN ST, ST CHARLES, IL 60174-5202
(630) 793-4464
Mailing address
619 S 5TH AVE, ST CHARLES, IL 60174-2929
(630) 800-8143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006494
IL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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