Individual
CHRISTINA RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 333-2808
Mailing address
700 WAVERLY RD, DAVENPORT, IA 52804
(563) 333-2808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01586
IA
225X00000X
Occupational Therapist
056006989
IL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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