Individual
AKITA NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
39 HEATHER GLENN LN, BLUFFTON, SC 29910-7877
(843) 540-0502
Mailing address
39 HEATHER GLENN LN, BLUFFTON, SC 29910-7877
(843) 540-0502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001103
VA
224Z00000X
Occupational Therapy Assistant
Primary
2956
SC
224Z00000X
Occupational Therapy Assistant
5711
AZ
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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