Individual
MS. KRISTIN INGRID STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 350-1508
(919) 350-1475
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-1508
(919) 350-1475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881061851
—
NC
Enumeration date
08/26/2015
Last updated
02/02/2021
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