RANDOLPH RICHARD CARTER

TARPON SPRINGS, FL
NPI1669091237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA29951)
Enumeration Date2020-04-13
Last Update Date2020-04-13
Business Address
RANDOLPH RICHARD CARTER PTA
515 CHESAPEAKE DR
TARPON SPRINGS, FL 34689-2515
Phone number: 727-934-4629
Mailing Address
RANDOLPH RICHARD CARTER PTA
512 WIDEVIEW AVE
TARPON SPRINGS, FL 34689-2338
Phone number: 813-802-2192