Individual
LEXUS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2961 W SPRING VALLEY PIKE, MIAMISBURG, OH 45342
(937) 802-3108
Mailing address
7651 WASHINGTON PARK DR, DAYTON, OH 45459-3620
(937) 422-3789
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008356
OH
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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