Individual
MR. JEFFREY SCOTT CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
(616) 249-8147
Mailing address
3010 WILSON AVE SW, GRANDVILLE, MI 49418-1242
(616) 249-8141
(616) 249-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003672
MI
Other
Enumeration date
03/21/2006
Last updated
10/04/2012
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