Individual
MS. CONSTANCE ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 485-4163
Mailing address
5160 NELSON RD, LONGMONT, CO 80503-9006
(303) 684-0502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3149
CO
2251S0007X
Sports Physical Therapist
3149
CO
Other
Enumeration date
07/12/2007
Last updated
02/21/2013
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