Individual
MR. ROBERT THOMAS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 261-5959
Mailing address
1263 COUNTY ROUTE 25, CANTON, NY 13617-6538
(315) 261-5959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004069-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004069-1
PTA LICENSE NUMBER
NY
Enumeration date
05/21/2007
Last updated
07/08/2007
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