Individual
ROBERT CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38137 CABIN TRL, SHAWNEE, OK 74804-8601
(405) 650-5391
Mailing address
38137 CABIN TRL, SHAWNEE, OK 74804-8601
(405) 650-5391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
623
OK
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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