| NPI | 1639273667 |
|---|---|
| Former Name | CAROL ANN ROLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC SC 536) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 536) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-09 |