Individual
CARL WILLIAM HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1869 HAW BRANCH RD, BEULAVILLE, NC 28518-9557
(910) 967-3444
Mailing address
1869 HAW BRANCH RD, BEULAVILLE, NC 28518-9557
(803) 431-0021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13940
NC
261QM1300X
Multi-Specialty Clinic/Center
13940
NC
Other
Enumeration date
07/07/2021
Last updated
10/10/2025
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