Individual
CYNTHIA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 NORTH AVE, 14, WAKEFIELD, MA 01880-1322
(781) 245-4446
Mailing address
607 NORTH AVE, 14, WAKEFIELD, MA 01880-1322
(781) 245-4446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11154
MA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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