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Individual

KRISTAN DREW DANIELLE SANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 JULIAN RD, SALISBURY, NC 28147-9079
(704) 636-5812
Mailing address
710 JULIAN RD, SALISBURY, NC 28147-9079
(704) 636-5812

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10124
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A0146961000
MEDCOST
Enumeration date
05/30/2017
Last updated
06/16/2018
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