James Leo Carroll, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Jefferson, TX

NPI

1700072477

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2017901 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-09-17

Last updated

2007-09-17