Individual
EDWARD ALLEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85016-4872
(602) 595-6180
(602) 595-7659
Mailing address
4715 N 32ND ST, SUITE 108, PHOENIX, AZ 85018-3300
(480) 689-5520
(480) 706-7409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10733
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
PT36162
CA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT36162
LICENSE
CA
Enumeration date
03/05/2010
Last updated
03/19/2014
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