Individual
CHRISTIE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2800 KIDD RD, RALEIGH, NC 27610-1842
(919) 231-7575
Mailing address
7404 BEAVERWOOD DR, RALEIGH, NC 27616-6411
(919) 637-1074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6689
NC
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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