Individual
JEANNE THERESA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7300 OLEANDER AVE, PORT SAINT LUCIE, FL 34952-8221
(772) 595-0410
Mailing address
5886 NW FILES CT, PORT SAINT LUCIE, FL 34986-4156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20623
FL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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