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1114404589
CLAYTON O CARROLL
WOODSTOCK, GA
NPI
1114404589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013679)
Enumeration Date
2018-07-27
Last Update Date
2024-06-10
Business Address
CLAYTON O CARROLL PT, DPT, SCS
6422 BELLS FERRY RD UNIT B124
WOODSTOCK, GA 30189-6114
Phone number: 770-372-1211
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Mailing Address
CLAYTON O CARROLL PT, DPT, SCS
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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