Brendon Carter, DPT
Physical Therapist in Newcastle, OK. Individual provider (NPI-1).
NPI number1154936664
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1154936664
- Entity type
- Individual (NPI-1)
- Name
- Brendon Carter
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 203463 | OK | Yes |
| 225100000X | Physical Therapist | 1335669 | TX |
Practice location
3699 Nw 32nd StNewcastle, OK 73065-6559
Phone 405-387-5520
Mailing address
440 Merchant DrNorman, OK 73069-6470
Phone 405-809-8713
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