Individual
MRS. SHARON R CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3574
Mailing address
5217 MAPLETON RD, LOCKPORT, NY 14094-9293
(716) 625-6096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000352-1
NY
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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