Individual
MR. KEVIN DANTE' HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8113
Mailing address
158 VANDORA HILLS PL, GARNER, NC 27529-5423
(919) 771-5150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12650
NC
Other
Enumeration date
05/17/2019
Last updated
02/02/2021
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