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Individual

MR. DAVID K CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03101
IA
225100000X
Physical Therapist
2005037318
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03101
IOWA LICENSE
IA
Enumeration date
11/10/2008
Last updated
02/18/2016
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