Individual
ALICIA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3500 OAK MANOR LN, LARGO, FL 33774-1211
(727) 581-9427
Mailing address
6301 S WEST SHORE BLVD APT 1718, TAMPA, FL 33616-1369
(978) 806-6572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19555
FL
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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