Individual
STEPHEN BENSON FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4230 N ROXBORO ST, DURHAM, NC 27704-1826
(919) 477-9805
Mailing address
5232 GUESS RD, DURHAM, NC 27712-2116
(919) 620-8444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6535
NC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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