| NPI | 1982796421 |
|---|---|
| Former Name | AMIE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 6001) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-03-29 |