Individual
MRS. JANE E CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
243 NORTH RD, SUITES101&102, POUGHKEEPSIE, NY 12601-1172
(845) 485-5087
(845) 485-4904
Mailing address
29 PATRICIA DR, PLEASANT VALLEY, NY 12569-5500
(845) 635-3910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000050-1
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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