Individual
JOAN M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-5421
(315) 963-7693
Mailing address
PO BOX 519, WATERTOWN, NY 13601-0519
(315) 782-3941
(315) 782-8967
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
029844
NY
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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