Individual
MS. ALLYSON ELAINE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S MAIN ST STE C, LINDALE, TX 75771-7854
(903) 780-3505
Mailing address
1711 BEARWOOD LN, TYLER, TX 75703-8101
(903) 954-0412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4059148
TX
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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