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NPI Code Detail

MEDICARE: PATRICK CARTER DPT

MEDICARE: PATRICK CARTER DPT
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
1225100000XPhysical Therapist
22251X0800XOrthopedic Physical Therapist26373MD

General Provider Information

NPI Number : 1649710161
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK CARTER DPT
Provider Business Mailing Address
First Line : 475 ALLENDALE RD STE 206
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-1495
Country : US
Telephone Number : 862-339-4540
Fax Number :
Provider Business Practice Location Address
First Line : 331 WILMINGTON W CHESTER PIKE
Second Line :
City : GLEN MILLS
State : PA
Zip : 19342-8210
Country : US
Telephone Number : 610-558-5866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2017
Last Update Date : 06/15/2022

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