Individual
KRYSTEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
7011 GUM BRANCH RD, RICHLANDS, NC 28574-8227
(910) 430-2201
(910) 324-4325
Mailing address
320 REID CT N, JACKSONVILLE, NC 28540-6216
(401) 835-1027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8707
NC
225X00000X
Occupational Therapist
OC012165
PA
Other
Enumeration date
12/13/2012
Last updated
09/23/2016
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