Khailen Deshun Carroll
Khailen Deshun Carroll is an Occupational Therapist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2020.
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
6451 N Charles StBaltimore, MD 21212-1010
Phone: (877) 407-3422
Fax: (877) 407-4329
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 09140 (MD) |
|---|
Record details
| NPI number | 1720684574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2020 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
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