Individual
CHASITY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 QUAIL RUN, SMITHFIELD, NC 27577-9406
(910) 984-6386
Mailing address
100 QUAIL RUN, SMITHFIELD, NC 27577-9406
(910) 984-6386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9932
NC
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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