MR. Michael Kevin Carroll, PTA, ATC
NPI #1992715999 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1992715999
- Entity Type
- Individual
- Name
- MR. Michael Kevin Carroll, PTA, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA, ATC
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Nov 1, 2007
Practice Location
- Address
- 9401 FOUNTAIN MEDICAL CT
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-4612
- Phone
- (239) 494-4241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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