Individual
DANIELLE A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N TWYMAN RD, FORT OSAGE R-I SCHOOL DISTRICT, INDEPENDENCE, MO 64058-3200
(816) 650-7332
(816) 650-7485
Mailing address
2101 N TWYMAN RD, INDEPENDENCE, MO 64058-3200
(816) 650-7332
(816) 650-7485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999142847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484690425
—
MO
Enumeration date
02/23/2007
Last updated
02/19/2009
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