Individual
ASHLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 AMITY RD, WOODBRIDGE, CT 06525-2206
(203) 974-1033
Mailing address
365 MATHER ST APT 118, HAMDEN, CT 06514-3131
(203) 507-9040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001324
CT
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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