Individual
MRS. STACEY ANN KINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
250 HOPKINS RD, KERNERSVILLE, NC 27284-9314
(336) 564-0178
Mailing address
1773 HICKORYCREST ST, KERNERSVILLE, NC 27284-4046
(484) 894-0819
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12780
NC
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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