NPI 1184974586

Burl Edwin Carroll, PT

Practitioner Physical Therapist Chipley, FL

Practice location

Address: 1414 Main St STE 3a, Chipley, FL 32428-6951
Phone: (850) 638-3387
Mailing address: PO Box 1113, Caryville, FL 32425-1113

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT5589 (FL)

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Registry record

NPI: 1184974586
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2012
Record last updated: 12 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.