Individual
MS. KRISTEN BAUCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
906 BUICK AVE, KANNAPOLIS, NC 28083-5014
(704) 933-6409
Mailing address
906 BUICK AVE, KANNAPOLIS, NC 28083-5014
(704) 933-6409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4188
NC
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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