Individual
MRS. NANCY CHRISTINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7470
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7470
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0090511
NY
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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