Individual
MRS. VIVIAN KWABIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10221
NC
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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