Mrs. Cheryl Marie Carroll
Physical Therapist
4 Farm Rd
Shoreham
, New York 11786-1550
Mrs. Cheryl Marie Carroll
Physical Therapist
4 Farm Rd
Shoreham
, New York 11786-1550
(631) 744-6789
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mrs. Cheryl Marie Carroll
- 4 Farm Rd
- Shoreham, NY
- Zip : 11786-1550
- Phone : (631) 744-6789
Second Address
- Mrs. Cheryl Marie Carroll
- 4 Farm Rd
- Shoreham, NY
- Zip : 11786-1550
- Phone : (631) 744-6789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 012586 | NY |
National Provider Identifier
| NPI | 1003002130 |
|---|---|
| Provider Name | Mrs. Cheryl Marie Carroll |
| First Address | Shoreham, NY 11786-1550 |
| Second Address | Shoreham, NY 11786-1550 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2007 |
| Last Update Date | 21/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.