Individual
KRISSTINA CLAIR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13847
—
NC
Enumeration date
04/26/2021
Last updated
04/26/2021
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