Individual
MRS. KRISTEN ANN HOMKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL STE 120, CHARLOTTE, NC 28277-4790
(704) 323-3409
(980) 223-4791
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(704) 323-3409
(980) 223-4791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4187
NC
225XH1200X
Hand Occupational Therapist
4187
NC
Other
Enumeration date
11/29/2005
Last updated
02/26/2025
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