Individual
IAN THOMAS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
3117 STILLWATER DR, PRESCOTT, AZ 86305-7164
(928) 442-0005
(928) 442-0660
Mailing address
3117 STILLWATER DR, PRESCOTT, AZ 86305-7164
(928) 442-0005
(928) 442-0660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32512
AZ
Other
Enumeration date
08/18/2022
Last updated
09/20/2022
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