Individual
MRS. CARRIE NICOLE MARYOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CPST
Contact information
Practice address
430 N MONITOR ST, WEST POINT, NE 68788-1555
(402) 372-2372
(402) 372-6773
Mailing address
430 N MONITOR ST, WEST POINT, NE 68788-1555
(402) 372-2372
(402) 372-6773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
691
NE
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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