Doctor Name: | MR. BRADY LYNN CARTER |
NPI Number: | 1487741054 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305831292 |
Business Practice Address: | 2426 Lee Hwy Suite 210 Bristol, VA - 242025967 |
Business Phone Number: | 2766450311 |
Business Fax Number: | 2766450302 |
Mailing Address: | 2426 Lee Hwy, Suite 210 BRISTOL |
State: | VA |
Postal Code: | 242025967 |
Phone Number: | 2766450311 |
Fax Number: | 2766450302 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305831292 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |