Most Relevant Information
Provider Data
| NPI Number: | 1003002130 |
| Provider Name: | CHERYL MARIE CARROLL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 012586 |
Most Important Dates
| Enumeration Date: | 09/21/2007 |
| Last Updated: | 09/21/2007 |
Provider Practice Location
4 FARM RD
SHOREHAM
NY
117861550
Practice Location Phone/Fax
| Phone: | 6317446789 |
| Fax: |
Provider Mailing Location
4 FARM RD
SHOREHAM
NY
117861550
Provider Mailing Phone/Fax
| Phone: | 6317446789 |
| Fax: |