Individual
COLEEN O'CONNOR CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9353 SOUTHTOWNE FARMS DR, SAINT LOUIS, MO 63123-7042
(314) 894-1727
Mailing address
9353 SOUTHTOWNE FARMS DR, SAINT LOUIS, MO 63123-7042
(314) 894-1727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MO01941
MO
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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