Individual
DR. BRIAN GLENN MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14626 23 MILE RD, SHELBY TOWNSHIP, MI 48315-3000
(586) 733-0561
Mailing address
7605 FLICKINGER DR, SHELBY TOWNSHIP, MI 48317-2337
(586) 733-0561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019674
MI
2251E1200X
Ergonomics Physical Therapist
5501019674
MI
2251E1300X
Clinical Electrophysiology Physical Therapist
5501019674
MI
2251G0304X
Geriatric Physical Therapist
5501019674
MI
2251H1300X
Human Factors Physical Therapist
5501019674
MI
2251N0400X
Neurology Physical Therapist
5501019674
MI
2251P0200X
Pediatric Physical Therapist
5501019674
MI
2251S0007X
Sports Physical Therapist
5501019674
MI
2251X0800X
Orthopedic Physical Therapist
5501019674
MI
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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