Individual
KRISTIN LEE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
418 KERSHAW LN, CLAYTON, NC 27520-7325
(919) 441-9513
Mailing address
7720 ASTORIA PL, RALEIGH, NC 27612-7390
(919) 441-9513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3825
NC
Other
Enumeration date
05/08/2008
Last updated
04/15/2015
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