Individual
MRS. KELLY KUCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 401-0100
Mailing address
4912 HARWOOD CT, DURHAM, NC 27713-8102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3716
NC
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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