Individual
KELLY A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
129 E MAIN ST, WESTBOROUGH, MA 01581-1578
(774) 210-0304
Mailing address
20 WIGWAM RD, WEST BROOKFIELD, MA 01585-3201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12162
MA
Other
Enumeration date
03/14/2012
Last updated
02/14/2023
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