Individual
LOREN K CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16455 E AVENUE OF THE FOUNTAINS, FOUNTAIN HILLS, AZ 85268-8307
(480) 770-6990
Mailing address
1889 W QUEEN CREEK RD APT 1046, CHANDLER, AZ 85248-3084
(508) 889-0951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30955
AZ
Other
Enumeration date
11/04/2020
Last updated
03/11/2021
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