Charles Carter, PTA

NPI #1558729061 in Wynne, Arkansas

Provider Information

NPI Number: 1558729061
Entity Type: Individual
Name: Charles Carter, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 29, 2016
Last Updated: Jan 29, 2016

Practice Location

Address: 319 MARTIN DR W
City: Wynne
State: Arkansas
ZIP Code: 72396-3446
Phone: (870) 589-3748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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