Individual
KRISTA KAY FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
Mailing address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4283
SC
225X00000X
Occupational Therapist
5201008460
MI
Other
Enumeration date
09/28/2013
Last updated
08/09/2025
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