| Doctor Name: | DR. DENEEN CARTER |
| NPI Number: | 1972995223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, OMPT, CSCS |
| License Number: | 5501004885 |
| Business Practice Address: | 23143 Woodward Ave. Ferndale, MI - 482201361 |
| Business Phone Number: | 2482685742 |
| Business Fax Number: | 2483360144 |
| Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604404909 |
| Phone Number: | 6302962223 |
| Fax Number: | 6307599510 |
| NPI Enumeration Date: | 02/24/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 5501004885 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |