Individual
CARTER MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1615 PASADENA AVE S STE 200, SOUTH PASADENA, FL 33707-4518
(813) 978-9700
(813) 558-6185
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32176
FL
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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