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JUSTIN NEIL CARTER COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1508224593

Individual Registrant:
 JUSTIN NEIL CARTER COTA/L
Gender: M
Not Sole Proprietor

Location and contact information for practice:
615 MOUNTAIN VIEW RD  GLENWOOD, AR 71943-9061 US
Tel: 870-356-3953  Fax: --

Contact information for business:
240 MATTHEWS DR G102 HOT SPRINGS, AR 71901-9614 US
Tel: 870-500-5158  Fax: --

Registration Information:
NPI: 1508224593
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AROT-A728

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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