Individual
KRISTINE DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 TRAILHEAD CT, GREENVILLE, SC 29617-6226
(864) 371-3100
Mailing address
32 HUNT ST, TRAVELERS REST, SC 29690-9609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5304
SC
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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