Individual
CARRIE COOL-PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-2588
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23018
MD
225100000X
Physical Therapist
PT 21830
FL
2255A2300X
Athletic Trainer
412
SC
Other
Enumeration date
03/28/2007
Last updated
09/06/2011
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