Individual
VIRGINIA LEE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
2731 SUNBERRY LN NW, CONCORD, NC 28027-6555
(704) 645-7136
Mailing address
2731 SUNBERRY LN NW, CONCORD, NC 28027-6555
(704) 645-7136
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5379
NC
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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