Provider Demographics
NPI:1477739340
Name:FARROW, DARLENE LYNN (OT/L)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:LYNN
Last Name:FARROW
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 SPRING FOREST RD
Mailing Address - Street 2:LEGACY HEALTHCARE SERVICES
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2815
Mailing Address - Country:US
Mailing Address - Phone:919-424-8050
Mailing Address - Fax:919-424-4310
Practice Address - Street 1:202 SMOKETREE WAY
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2165
Practice Address - Country:US
Practice Address - Phone:919-496-6500
Practice Address - Fax:919-496-6500
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5247225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist