Individual
ANDREA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2700 8TH ST NW, MINOT, ND 58703-0652
(701) 839-4102
(701) 838-9603
Mailing address
2700 8TH ST NW, MINOT, ND 58703-0652
(701) 839-4102
(701) 838-9603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1168
ND
Other
Enumeration date
02/21/2011
Last updated
06/18/2015
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