Individual
PAULA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3392
(866) 425-5768
Mailing address
1227 FORESTWOOD DR, CHARLESTON, SC 29407-7726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
013000997
VA
224Z00000X
Occupational Therapy Assistant
2891
SC
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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