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Individual

JAMIE L. CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
402 FIRST STREET, RANDOM LAKE, WI 53075
(920) 994-9700
Mailing address
4872 WOODHAVEN DR, WEST BEND, WI 53095-9155

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1136026
WI

Other

Enumeration date
06/29/2009
Last updated
06/29/2009
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