Individual
THERESA A CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
21 PROSPECT ST STE A, TORRINGTON, CT 06790-6359
(860) 482-4730
Mailing address
PO BOX 445, SALISBURY, CT 06068-0445
(860) 435-1048
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
000539
CT
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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