Provider Demographics
NPI:1134349251
Name:CARROLL, BETH ANNE (OTR)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANNE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:CARROLL
Other - Last Name:NAPATALUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2210 PINE HILL CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129
Mailing Address - Country:US
Mailing Address - Phone:615-653-9225
Mailing Address - Fax:
Practice Address - Street 1:1927 MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-904-9111
Practice Address - Fax:615-867-5223
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist