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1245805027
ALYSSA A CARTER
ST CHARLES, IL
NPI
1245805027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006494)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
ALYSSA A CARTER PTA
4058 E MAIN ST
ST CHARLES, IL 60174-5202
Phone number: 630-793-4464
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Mailing Address
ALYSSA A CARTER PTA
619 S 5TH AVE
ST CHARLES, IL 60174-2929
Phone number: 630-800-8143
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