Individual
DONNELL L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1465 OAKFIELD DR, BRANDON, FL 33511-4854
(813) 486-8688
Mailing address
4014 VALRICO GROVE DR, VALRICO, FL 33594-4827
(813) 486-8688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6690
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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