Individual
KRISTEN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1995 NW CARY PKWY, MORRISVILLE, NC 27560-4600
(919) 818-6187
Mailing address
109 BROOK FRYAR ST, CARY, NC 27519-6199
(919) 818-6187
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11160
NC
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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