Individual
CHRISTY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 DAMSON LN, WAXHAW, NC 28173-7271
(704) 201-7561
Mailing address
1012 DAMSON LN, WAXHAW, NC 28173-7271
(704) 201-7561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4055
NC
Other
Enumeration date
08/18/2008
Last updated
12/31/2020
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