Individual
KRISTIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 S 144TH ST, OMAHA, NE 68137-1051
(402) 614-4000
Mailing address
7240 TALLGRASS PKWY APT 205G, LINCOLN, NE 68521-6700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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