Individual
JAMES MATTHEW CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L, CLT
Contact information
Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4899
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
119623
TX
225X00000X
Occupational Therapist
Primary
OT3802
NM
Other
Enumeration date
09/26/2017
Last updated
09/09/2025
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