Burl Edwin Carroll JR., PT

NPI #1184974586 in Chipley, Florida

Provider Information

NPI Number
1184974586
Entity Type
Individual
Name
Burl Edwin Carroll JR., PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 12, 2012
Last Updated
Sep 12, 2012

Practice Location

Address
1414 MAIN ST STE 3A
State
Florida
ZIP Code
32428-6951
Phone
(850) 638-3387

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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