Shelly Carroll, PT

NPI #1861412025 in Columbia, Maryland

Provider Information

NPI Number: 1861412025
Entity Type: Individual
Name: Shelly Carroll, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6500 FREETOWN RD
City: Columbia
State: Maryland
ZIP Code: 21044-4002
Phone: (410) 465-5921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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