Individual
DESIREE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18803 HARDY OAK DRIVE, SAN ANTONIO, TX 78258
(210) 982-4600
Mailing address
18803 HARDY OAK DRIVE, SAN ANTONIO, TX 78258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209321
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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