Individual
JODIE L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4016
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003007040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486083900
—
MO
Enumeration date
04/21/2006
Last updated
12/17/2013
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