Provider Demographics
NPI:1285948224
Name:MCCARTER, TAHIRA TEMECCA (LPTA)
Entity type:Individual
Prefix:MRS
First Name:TAHIRA
Middle Name:TEMECCA
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44002 WEAR RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48111-9633
Mailing Address - Country:US
Mailing Address - Phone:734-635-5330
Mailing Address - Fax:
Practice Address - Street 1:44002 WEAR RD
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-9633
Practice Address - Country:US
Practice Address - Phone:734-635-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502002554225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant