Randolph Richard Carter III, PTA
Physical Therapy Assistant in Tarpon Springs, FL. Individual provider (NPI-1).
NPI number1669091237
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1669091237
- Entity type
- Individual (NPI-1)
- Name
- Randolph Richard Carter III
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA29951 | FL | Yes |
Practice location
515 Chesapeake DrTarpon Springs, FL 34689-2515
Phone 727-934-4629
Mailing address
512 Wideview AveTarpon Springs, FL 34689-2338
Phone 813-802-2192
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All 14 Physical Therapy Assistant providers in Tarpon Springs · All 726 providers in Tarpon Springs
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