MRS. Deslyn Nicole Carroll, COTA

NPI #1407043672 in Tyler, Texas

Provider Information

NPI Number
1407043672
Entity Type
Individual
Name
MRS. Deslyn Nicole Carroll, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Oct 1, 2007
Last Updated
Oct 1, 2007

Practice Location

Address
3505 OLD JACKSONVILLE RD
City
Tyler
State
Texas
ZIP Code
75701-8510
Phone
(903) 561-2011

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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