Healthcare Provider Details

I. General information

NPI: 1710235155
Provider Name (Legal Business Name): KAROL SPRAGGS-YOUNG OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAROL E SPRAGGS

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 W MILLS STREET SUITE 104
COLUMBUS NC
28722-4265
US

IV. Provider business mailing address

155 W MILLS ST STE 104
COLUMBUS NC
28722-9426
US

V. Phone/Fax

Practice location:
  • Phone: 828-980-8818
  • Fax:
Mailing address:
  • Phone: 828-980-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2261
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2473
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: