Individual
MS. CAROL LYNN CROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1129 CALPERNIA, WIXOM, MI 48393-4506
(248) 761-7380
Mailing address
1129 CALPERNIA, WIXOM, MI 48393-4506
(248) 761-7380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007018
MI
Other
Enumeration date
03/10/2014
Last updated
04/15/2014
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