Individual
MATTHEW BOYD HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
77 TUPPER RD, BLACK MOUNTAIN, NC 28711-8446
(828) 808-7106
Mailing address
77 TUPPER RD, BLACK MOUNTAIN, NC 28711-8446
(828) 808-7106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10771
FL
224Z00000X
Occupational Therapy Assistant
Primary
5991
NC
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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