DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWIN CARTER JR., PTA

Active Sole Proprietor

MR. EDWIN CARTER JR., PTA is a Occupational Therapist healthcare provider located in LAKE PARK, Georgia. NPI 1467987297 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE PARK, GA

Registration Details

NPI Number
1467987297
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2017 (9.3203210470805 yrs)
Last Updated
Jan 6, 2022
Licenses
23079 (FL)
002487 (GA)
Sole Proprietor
Yes

Practice Information

Address
7667 ENOCH LAKE CIRCLE
LAKE PARK, GA, 31636
Browse GA providers · Browse ZIP 31636
Phone
2293756583
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.