Individual
KATHLEEN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
100 RETREAT AVE STE 100, HARTFORD, CT 06106-2528
(860) 545-9050
(860) 545-9055
Mailing address
100 RETREAT AVE STE 100, HARTFORD, CT 06106-2528
(860) 545-9050
(860) 545-9055
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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