Ethan Lane Carroll
NPI #1548855141 in Mc Lean, Virginia
Provider Information
- NPI Number
- 1548855141
- Entity Type
- Individual
- Name
- Ethan Lane Carroll
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Mar 4, 2021
- Last Updated
- Mar 4, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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