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Individual

MINDY ELAINE CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
2200 POPLAR ST., NORTH LITTLE ROCK, AR 72115-0687
(501) 771-8093
(501) 771-8090
Mailing address
2200 POPLAR ST., P.O. BOX 687, NORTH LITTLE ROCK, AR 72115-0687
(501) 771-8093
(501) 771-8090

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2037
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159610721
AR
01
5Y540
BLUE CROSS
AR
Enumeration date
08/06/2008
Last updated
08/06/2008
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