Individual
MRS. CHERYL MARIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 FARM RD, SHOREHAM, NY 11786-1550
(631) 744-6789
Mailing address
4 FARM RD, SHOREHAM, NY 11786-1550
(631) 744-6789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012586
NY
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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