Individual
HEATHER CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
Mailing address
50 FOUR OAKS LN, CHARLOTTE, AR 72522-9716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1698
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C243
BCBS
AR
Enumeration date
02/26/2007
Last updated
07/08/2007
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