Individual
NICHOLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 COVE BRK, SCHERTZ, TX 78154-2682
(830) 433-2464
Mailing address
2524 COVE BRK, SCHERTZ, TX 78154-2682
(830) 433-2464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212168
TX
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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