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Individual

MS. MARY ELIZABETH CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT DPT

Contact information

Practice address
15 HALKO DR, CEDAR KNOLLS, NJ 07927-1306
(973) 829-8484
Mailing address
33 TARN DR, MORRIS PLAINS, NJ 07950-2755
(201) 400-8333

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA00776700
NJ

Other

Enumeration date
05/04/2007
Last updated
01/06/2013
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