Individual
EDWARD ALLEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10733
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
PT36162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT36162
LICENSE
CA
Enumeration date
03/05/2010
Last updated
03/19/2014
Update your record
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