Carroll Fernstrom is a Occupational Therapist based in Raleigh, NC. Carroll Fernstrom practices in Raleigh, NC and has the professional credentials of OT. The NPI Number for Carroll Fernstrom is 1588631279 and holds a License No. 0315 (North Carolina).
The current practice location address for Carroll Fernstrom is 926 Williamson Dr, Raleigh, NC and can be reached out via phone at 919-696-6691 and via fax at 919-846-6767.
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| Q38337A | 01 | NC | MEDICARE PTAN | 
| 562132986 | 01 | NC | TAX ID | 
| P00021102 | 01 | NC | RAILROAD | 
| 1321M | 01 | NC | BCBS | 
| 2510811-A | 01 | NC | MEDICARE PTAN | 
| 7301597 | 05 | NC | 
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