Individual
NEIL K CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 BRICKHILL AVE, SUITE 303, SOUTH PORTLAND, ME 04106-1999
(207) 773-0040
(207) 774-6501
Mailing address
100 BRICKHILL AVE, SUITE 303, SOUTH PORTLAND, ME 04106-1999
(207) 773-0040
(207) 774-6501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT244
ME
Other
Enumeration date
06/09/2006
Last updated
07/10/2014
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