Individual
NICOLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2107 MCCORMICK ST, TEXARKANA, TX 75501-7627
(430) 293-9400
Mailing address
2107 MCCORMICK ST, TEXARKANA, TX 75501-7627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217307
TX
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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