Individual
ANGELA PRIDE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
307 PATRIOT WAY, YORKTOWN, VA 23693-4640
(757) 865-7186
Mailing address
307 PATRIOT WAY, YORKTOWN, VA 23693-4640
(757) 865-7186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000270
VA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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