Individual
TERESA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 PEARL AVE APT 1, WINTHROP, MA 02152-1385
(617) 515-5788
Mailing address
39 PEARL AVE APT 1, WINTHROP, MA 02152-1385
(617) 515-5788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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