Individual
MRS. DEBORAH A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 PENNSYLVANIA PKWY, SUITE 100, INDIANAPOLIS, IN 46280-2301
(317) 208-1598
Mailing address
201 PENNSYLVANIA PKWY, SUITE 100, INDIANAPOLIS, IN 46280-2301
(317) 208-1598
(317) 208-1551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007464A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201003000
—
IN
Enumeration date
06/27/2007
Last updated
02/14/2011
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