Individual
MRS. JUDY K CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3063 SWEET PINE DR, MELBOURNE, FL 32935-4587
(321) 243-5825
Mailing address
3063 SWEET PINE DR, MELBOURNE, FL 32935-4587
(321) 243-5825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8462
FL
225X00000X
Occupational Therapist
Primary
OT 8462
FL
Other
Enumeration date
05/12/2014
Last updated
02/01/2018
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