Individual
ALYSON CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11190 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-2578
(866) 622-9271
Mailing address
11190 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-2578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006447
GA
Other
Enumeration date
05/06/2016
Last updated
02/12/2017
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