Individual
MRS. KRISTIN NICOLE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4353
(641) 469-4288
Mailing address
2050 KEOKUK WASHINGTON RD, KEOTA, IA 52248-9200
(319) 461-1233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005078
IA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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