Individual
SHANNON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
119 BELMONT ST, INPATIENT REHABILITATION, WORCESTER, MA 01605-2903
(508) 334-1000
Mailing address
1 AVERY RIDGE LN, HAMPTON FALLS, NH 03844-2043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10371
MA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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