BURL EDWIN CARROLL

CHIPLEY, FL
NPI1184974586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT5589)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- BURL EDWIN CARROLL PT
1414 MAIN ST STE 3A
CHIPLEY, FL 32428-6951
Phone number: 850-638-3387
Mailing Address
-- BURL EDWIN CARROLL PT
PO BOX 1113
CARYVILLE, FL 32425-1113
Phone number: 850-547-2030