Individual
GINGER LYNN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8583
Mailing address
1886 JAMES AVE, SAINT PAUL, MN 55105-1717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103076
MN
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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