Individual
CARMA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Mailing address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3518
ID
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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