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Individual
MR. DAVID K CARROLL
Active
Individual
MR. DAVID K CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03101
IA
225100000X
Physical Therapist
2005037318
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03101
IOWA LICENSE
IA
Enumeration date
11/10/2008
Last updated
02/18/2016
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