Individual
HOLLY G CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 HEIRLOOM DR, BLOOMINGTON, IN 47401
(888) 496-9319
Mailing address
524 N COLLEGE AVE APT 410, BLOOMINGTON, IN 47404-4028
(615) 804-5448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013154A
IN
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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