Individual
LARRY DOUGLAS HARRELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
(252) 823-0401
Mailing address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8623
NC
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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