Individual
KRISTI A FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
205 SHAWNEE EST, WINFIELD, WV 25213-9710
(304) 552-4327
Mailing address
205 SHAWNEE EST, WINFIELD, WV 25213-9710
(304) 552-4327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
C2127
WV
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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