Individual
KRYSTYNA ALEXIS BALTRUSITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6338 CEPHIS DR, CLEMMONS, NC 27012-9230
(336) 893-6383
Mailing address
6338 CEPHIS DR, CLEMMONS, NC 27012-9230
(336) 893-6383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17105
NC
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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