Individual
SAMANTHA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 W US HIGHWAY 50, FAIRVIEW HEIGHTS, IL 62208-2927
(618) 628-9499
Mailing address
1941 W US HIGHWAY 50, FAIRVIEW HEIGHTS, IL 62208-2927
(618) 628-9499
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011253854
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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