MEDICARE: BARBARA CARTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	40QB00055200	NJ

General Provider Information

NPI Number	:	1609199900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA CARTER

Provider Business Mailing Address
First Line	:	187 HOFFMAN BLVD
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-5010
Country	:	US
Telephone Number	:	862-224-8717
Fax Number	:

Provider Business Practice Location Address
First Line	:	187 HOFFMAN BLVD
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-5010
Country	:	US
Telephone Number	:	862-224-8717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	03/01/2010

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Directions to “ BARBARA CARTER ” Practice Location

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