Provider Demographics
NPI:1831423029
Name:CARROLL, ABIGAIL MICHELLE (PHD, MS, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:MICHELLE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PHD, MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 DAMASCUS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8024
Mailing Address - Country:US
Mailing Address - Phone:919-623-4081
Mailing Address - Fax:
Practice Address - Street 1:1607 DAMASCUS CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8024
Practice Address - Country:US
Practice Address - Phone:919-623-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NC6253225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist