PHILLIP CARROLL

MODESTO, CA
NPI1295970796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: CA  CO002162)
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
-- PHILLIP CARROLL CO
1130 COFFEE RD SUITE B
MODESTO, CA 95355-4228
Phone number: 209-549-1000
Mailing Address
-- PHILLIP CARROLL CO
693 HI TECH PKWY
OAKDALE, CA 95361-9113
Phone number: 209-845-8231