Individual
CAROL DOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
463646 STATE ROAD 200 STE 4, YULEE, FL 32097-0303
(904) 261-4414
(904) 261-4614
Mailing address
PO BOX 949, ROME, GA 30162-0949
(904) 261-4414
(904) 261-4614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008521
GA
225X00000X
Occupational Therapist
Primary
OT22386
FL
225XH1200X
Hand Occupational Therapist
012921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02631450
—
NY
Enumeration date
07/25/2006
Last updated
07/21/2022
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