Individual provider · Type 1 NPI
Coleen O'Connor Carroll, PT
Specialist · St. Louis, MO
NPI number
1265687578
Active
Practice location
9353 Southtowne Farms Dr
St. Louis, MO 63123-7042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MO01941 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1265687578
Coleen O'Connor Carroll, PT's National Provider Identifier is 1265687578, issued on Dec 1, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 1, 2008.