Individual
KRISTIN FAITH KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4390 BELLE OAKS DR, NORTH CHARLESTON, SC 29405-8559
(866) 571-2700
Mailing address
4390 BELLE OAKS DR, NORTH CHARLESTON, SC 29405-8559
(866) 571-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2855
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253786
NBCOT CERTIFICATION NUMBER
SC
Enumeration date
07/09/2009
Last updated
07/09/2009
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