Individual
TERESA ELAINE MURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 765-7058
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397730042
NSC #
NC
Enumeration date
11/22/2005
Last updated
02/24/2022
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