Individual
NICK CHARLES CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12-7247 MOANA KAI PALI ST, PAHOA, HI 96778
(808) 965-6226
Mailing address
12-7247 MOANA KAI PALI ST, PAHOA, HI 96778
(808) 965-6226
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3223
HI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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