Individual
KRISTA NICOLE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2059 TORREDGE RD, DURHAM, NC 27712-1767
(919) 477-4474
Mailing address
10009 WYNGATE RIDGE DR, RALEIGH, NC 27617-4778
(661) 733-7724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7518
NC
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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