Victoria Carmack, PTA

NPI #1831503317 in Osage Beach, Missouri

Provider Information

NPI Number: 1831503317
Entity Type: Individual
Name: Victoria Carmack, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 5816 OSAGE BEACH PKWY
Address 2: SUITE 102
City: Osage Beach
State: Missouri
ZIP Code: 65065-3046
Phone: (573) 348-4004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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