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Individual
MS. TERESA P CARROLL
Active
Individual
MS. TERESA P CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC-001322L
PA
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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