Provider Demographics
NPI:1265457014
Name:CARTER, VERONICA LOUISE (PT)
Entity Type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:LOUISE
Last Name:CARTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 PETZINGER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-4017
Mailing Address - Country:US
Mailing Address - Phone:614-559-0270
Mailing Address - Fax:614-338-2399
Practice Address - Street 1:2690 PETZINGER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-4017
Practice Address - Country:US
Practice Address - Phone:614-559-0270
Practice Address - Fax:614-338-2399
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 5693174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist