Amy Carroll, PTA
NPI #1306126115 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1306126115
- Entity Type
- Individual
- Name
- Amy Carroll, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 24, 2011
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- N2950 STATE ROAD 67
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2655
- Phone
- (262) 245-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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