MR. Michael Thomas Carroll, P.T.

NPI #1366569261 in Port Jervis, New York

Provider Information

NPI Number: 1366569261
Entity Type: Individual
Name: MR. Michael Thomas Carroll, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8 OAK ST
City: Port Jervis
State: New York
ZIP Code: 12771-1423
Phone: (845) 856-1639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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