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Individual

CHARLES CARTER

Active
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Individual

CHARLES CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60474879
OR
225100000X
Physical Therapist
Primary
PT60474879
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0329549
WA L&I
WA
01
0329551
WA L&I
WA
05
2038541
WA
Enumeration date
08/07/2014
Last updated
12/15/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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