Individual
JOSHUA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
455 E NEES AVE APT 265, FRESNO, CA 93720-0949
(559) 696-2108
Mailing address
9800 N. LAMAR BLVD SUITE 250, AUSTIN, TX 78753
(559) 696-2108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212122
TX
Other
Enumeration date
06/02/2011
Last updated
05/21/2014
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