Individual
DR. PHILLIP SEAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1821 N WASHINGTON ST, TULLAHOMA, TN 37388-2221
(931) 222-4454
Mailing address
446 N CLAUD AVE, BOLIVAR, MO 65613-1424
(925) 278-3176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1318710
TX
225100000X
Physical Therapist
Primary
13333
TN
225100000X
Physical Therapist
2019022794
MO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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