Individual
KRISTINA M. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CMTPT
Contact information
Practice address
4125 IRONBOUND RD STE 100, WILLIAMSBURG, VA 23188-2666
(757) 220-8383
(757) 253-7833
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 373-2919
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010294029
—
VA
01
—
192935
BCBS PHYSICAL THERAPY
VA
01
—
7879840
AETNA
VA
01
—
P00361686
MEDICARE RAILROAD
VA
Enumeration date
08/04/2006
Last updated
08/11/2022
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