Individual
KRISTEN LEIGH HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 DAWN AVE, FOUR OAKS, NC 27524-7747
(941) 201-2328
Mailing address
30 DAWN AVE, FOUR OAKS, NC 27524-7747
(941) 201-2328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
11253
FL
224Z00000X
Occupational Therapy Assistant
Primary
8061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11253
STATE LICENSE
FL
01
—
8061
STATE LICENSE
NC
Enumeration date
10/15/2011
Last updated
10/15/2011
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