Individual
JENNIFER CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
44385 STATE ROUTE 154, LISBON, OH 44432-8336
(330) 227-3896
Mailing address
44385 STATE ROUTE 154, LISBON, OH 44432-8336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003825
OH
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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