Individual
KRISTINA EATON DAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
507 W CHEVES ST, FLORENCE, SC 29501-4449
(843) 669-1188
(843) 669-7144
Mailing address
507 W CHEVES ST, FLORENCE, SC 29501-4449
(843) 669-1188
(843) 669-7144
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1731
SC
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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