Individual
JUSTIN NEIL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
615 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9061
(870) 356-3953
Mailing address
240 MATTHEWS DR, G102, HOT SPRINGS, AR 71901-9614
(870) 500-5158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A728
AR
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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