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Individual

TINA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 BEECHMONT DR NE, CORYDON, IN 47112-1718
(812) 738-8127
Mailing address
240 BEECHMONT DR NE, CORYDON, IN 47112-1718
(812) 738-8127

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000880A
IN

Other

Enumeration date
07/02/2008
Last updated
07/02/2008
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