Individual
JENNIFER ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2625 PLYMOUTH RD, ANN ARBOR, MI 48105-2468
(734) 585-3313
(734) 585-3315
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014542
IL
225100000X
Physical Therapist
Primary
5501012790
MI
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/06/2006
Last updated
04/03/2014
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