Provider Demographics
NPI:1922514033
Name:FEOLE, SARA CURRAN
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:CURRAN
Last Name:FEOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 CALIBRE CHASE DR APT 304
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7757
Mailing Address - Country:US
Mailing Address - Phone:919-609-7777
Mailing Address - Fax:
Practice Address - Street 1:231 CALIBRE CHASE DR APT 304
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7757
Practice Address - Country:US
Practice Address - Phone:919-609-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty