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1679704951
THERESA A CARROLL
HAMPTON, VA
NPI
1679704951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305206103)
Enumeration Date
2009-08-04
Last Update Date
2009-10-27
Business Address
THERESA A CARROLL DPT
2106 EXECUTIVE DR
HAMPTON, VA 23666-2402
Phone number: 757-838-6678
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Mailing Address
THERESA A CARROLL DPT
771 PILOT HOUSE DR
NEWPORT NEWS, VA 23606-1990
Phone number: 757-873-2302
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