Individual
KRISTINE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7051 ROCKFISH RD, FAYETTEVILLE, NC 28306-0058
(304) 910-7407
Mailing address
115 ZANE DR, RAEFORD, NC 28376-9508
(304) 910-7407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15062
NC
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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