Individual
JONNA J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
350 SEYMOUR AVE, PHYSICAL THERAPY DEPARTMENT, DERBY, CT 06418-1336
(203) 732-7445
Mailing address
350 SEYMOUR AVE, PHYSICAL THERAPY DEPARTMENT, DERBY, CT 06418-1336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009215
CT
225100000X
Physical Therapist
19710
MA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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