Individual
KRISTY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1130 HALE ST, OXFORD, AL 36203-2444
(256) 831-0481
Mailing address
6905 MOUNT ZION RD, WACO, GA 30182-2619
(913) 605-2615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3638
AL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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