Individual
MICHELLE MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
67 PINE POINT RD, SCARBOROUGH, ME 04074-8813
(207) 883-2468
Mailing address
140B WASHINGTON ST, LIMERICK, ME 04048-3507
(207) 793-4827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1324
ME
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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