| NPI | 1477672889 |
|---|---|
| Former Name | CARRIE ANN COOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23018) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 21830) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: SC 412) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-09-06 |