Carter, Angela Suzanne

Carter, Angela Suzanne is an individual health care provider with primary practice located at 3801 Johnson Mill Blvd , Fayetteville AR 72704-5297. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Carter, Angela Suzanne can be contacted via phone (479) 856-6400.

Contact Information

Primary practice address
3801 Johnson Mill Blvd Fayetteville AR 72704-5297
Phone: (479) 856-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT-A1238 Arkansas

Profile Details

NPI number 1265957526
LBN Legal business name Carter, Angela Suzanne
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Aug 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265957526 NPPES
Arkansas Other OT-A1238 COTA

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