EDWIN CARTER

LAKE PARK, GA
NPI1467987297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  002487)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: FL  23079)
Enumeration Date2017-04-30
Last Update Date2022-01-06
Business Address
Mr. EDWIN CARTER PTA
7667 ENOCH LAKE CIRCLE
LAKE PARK, GA 31636
Phone number: 229-375-6583
Mailing Address
Mr. EDWIN CARTER PTA
7667 ENOCH LAKE CIRCLE
LAKE PARK, GA 31636
Phone number: 229-375-6583