Individual
KRISTIN SEAWELL SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 STEEPLETON WAY, GREENSBORO, NC 27410-9213
(336) 681-5236
Mailing address
3204 STEEPLETON WAY, GREENSBORO, NC 27410-9213
(336) 681-5236
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7857
NC
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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