Individual
CASEY HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 MURRAYVILLE RD, #69, WILMINGTON, NC 28405-8915
(910) 367-1070
Mailing address
5725 MURRAYVILLE RD, #69, WILMINGTON, NC 28405-8915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8827
NC
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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