Organization
MISSOT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LAURA TITUS OTR/L (OCCUPATIONAL THERAPIST)
(919) 451-9636
Entity
Organization
Contact information
Practice address
1414 LAUREL LN, HILLSBOROUGH, NC 27278-9456
(919) 451-9636
(919) 732-2514
Mailing address
1414 LAUREL LN, HILLSBOROUGH, NC 27278-9456
(919) 451-9636
(919) 732-2514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0636
NC
225X00000X
Occupational Therapist
Primary
5845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301872
—
NC
05
—
7302450
—
NC
Enumeration date
08/06/2013
Last updated
03/24/2017
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