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Phillip Carroll, CO
Orthotist in Modesto, California
NPI 1295970796

Phillip Carroll is a Orthotist based in Oakdale, CA. Phillip Carroll practices in Modesto, CA and has the professional credentials of CO. The NPI Number for Phillip Carroll is 1295970796 and holds a License No. CO002162 (California).

The current practice location address for Phillip Carroll is 1130 Coffee Rd, Modesto, CA and can be reached out via phone at 209-549-1000 and via fax at 209-549-1016. You can also correspond with Phillip Carroll through the mailing address at 693 HI TECH PKWY, OAKDALE, CA - 95361-9113 (mailing address contact number: 209-845-8231).

Location: 1130 Coffee Rd, Modesto, CA, 95361-9113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295970796
Provider Name
Phillip Carroll
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
1130 Coffee Rd, Modesto, CA, 95361-9113
Phone Number
209-549-1000
Fax Number
209-549-1016
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1130 Coffee Rd
City
Modesto
State
California
Zip
95355-4228
Phone Number
209-549-1000
Fax Number
209-549-1016
person
Provider Business Mailing Address Details
Address
1130 Coffee Rd
City
Modesto
State
California
Zip
95355-4228
Phone Number
209-549-1000
Fax Number
209-549-1016
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CO002162 (California)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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