Individual
ERIN MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 N UNIVERSITY ST, NORMAL, IL 61761-4402
(309) 438-2111
Mailing address
5 WHITE DR, KINGSTON, NH 03848-3049
(603) 702-3078
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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