MR. James Leo Carroll, PTA

NPI #1700072477 in Jefferson, Texas

Provider Information

NPI Number
1700072477
Entity Type
Individual
Name
MR. James Leo Carroll, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 17, 2007
Last Updated
Sep 17, 2007

Practice Location

Address
339 TANGIERS
State
Texas
ZIP Code
75657-0598
Phone
(903) 665-7055

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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