Individual
KRISTI R CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OT/L
Contact information
Practice address
69 AVENUE B, MADISON, WV 25130-1162
(304) 369-3131
Mailing address
600 FORT HILL DR, CHARLESTON, WV 25314-1023
(304) 206-1655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1202
WV
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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