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Individual

KRISTINE MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 SILVER BLUFF DR, CANTON, NC 28716-6350
(828) 648-2044
Mailing address
4756 MEADOW FORK RD, HOT SPRINGS, NC 28743-7322
(828) 550-7961

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11069
NC

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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