Individual
AMANDA LEE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 LAKEVIEW, MCALESTER, OK 74501-2180
(918) 636-4884
Mailing address
1900 LAKEVIEW, MCALESTER, OK 74501-2180
(918) 636-4884
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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