Individual
KRISTAN CARTER
Active
Individual
KRISTAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 005414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340789758
CHILDREN'S DEV CTR. TAXID
OH
05
—
7255198
—
OH
Enumeration date
06/07/2007
Last updated
06/09/2009
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