Individual
EMMA L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0016295
COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
CO
Enumeration date
03/20/2019
Last updated
03/20/2019
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