Individual
MICHAEL CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13700 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3222
(804) 764-5022
Mailing address
13700 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3222
(804) 764-5022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001299
VA
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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