Individual
MICHAEL LEROY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14900 PRIVATE DR, CLEVELAND, OH 44112-3470
(216) 851-4268
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 243-4556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08244
OH
225200000X
Physical Therapy Assistant
2118822
TX
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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