Individual
MS. HANNAH LOUISE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
1003 W 18TH ST APT 3, PORT ANGELES, WA 98363-7412
(360) 620-8691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160387484
WA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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