Individual
CHARLES CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
319 MARTIN DR W, WYNNE, AR 72396-3446
(870) 589-3748
Mailing address
319 MARTIN DR W, WYNNE, AR 72396-3446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1849
AR
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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