Individual
GRACE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
Mailing address
1591 RIVERS RD, GREEN COVE SPRINGS, FL 32043-9389
(904) 501-1453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24646
FL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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