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Jazmon Monique Carroll

Physical Therapist, Orthopedic in Saint Louis, MO. Individual provider (NPI-1).

NPI number1780140244
StatusActive
Last updated in NPPESJul 27, 2022

Details

NPI
1780140244
Entity type
Individual (NPI-1)
Name
Jazmon Monique Carroll
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2019
Certification date
Jul 27, 2022
Last updated
Jul 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, OrthopedicPT-8045IDYes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

3437 Caroline St
Saint Louis, MO 63104-1111

Phone 314-977-2570

Mailing address

1404 S Yale Dr
O Fallon, IL 62269-2738

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Other Orthopedic Physical Therapist providers in Saint Louis, MO

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