Individual
ANGELA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
9119 SHADOW GLEN WAY, FORT MYERS, FL 33913-6602
(239) 225-9125
(239) 225-9127
Mailing address
9119 SHADOW GLEN WAY, FORT MYERS, FL 33913-6602
(239) 225-9125
(239) 225-9127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19917
FL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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