Individual
PATRICIA ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2080 WOODWINDS DR, #240, WOODBURY, MN 55125-2523
(651) 702-0750
Mailing address
2080 WOODWINDS DR, #240, WOODBURY, MN 55125-2523
(651) 702-0750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
100349
MN
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797605400
—
MN
Enumeration date
03/07/2007
Last updated
09/15/2020
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