Individual
KRISTIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DUTCHMANS LN, EASTON, MD 21601-3342
(410) 490-0830
Mailing address
11128 MEADOW RIDGE RD, CORDOVA, MD 21625-2667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3567
MD
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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