SearchMassachusetts2255A2300X

Carrie Deisenroth, ATC

NPI 1336292440 · on the registry since 2007

Practice

Address
25 Marlboro Rd
Southborough, MA 01772
Phone
(508) 786-6144
Fax
(508) 786-6139
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
MA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts