Individual
KAILANI BALAGEO TALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
141 FAISON RD, PRINCETON, NC 27569-7422
(919) 432-8789
Mailing address
PO BOX 927, PRINCETON, NC 27569-0927
(919) 432-8789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9889
NC
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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