Carter A Lake, PT

NPI #1427113331 in Milton Freewater, Oregon

Provider Information

NPI Number
1427113331
Entity Type
Individual
Name
Carter A Lake, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 22, 2006
Last Updated
Oct 3, 2007

Practice Location

Address
1020 S MAIN ST
State
Oregon
ZIP Code
97862-1534
Phone
(509) 588-2924

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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