Individual
ANDREW CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1565 SAXON BLVD STE 301, DELTONA, FL 32725-5836
(386) 851-0901
(386) 851-2426
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
(386) 851-0901
(386) 851-2426
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT5431
NM
225100000X
Physical Therapist
Primary
PT35622
FL
Other
Enumeration date
03/21/2019
Last updated
03/02/2020
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