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Individual

MARILYN ANN KINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2901 FAIRCROFT WAY, MONROE, NC 28110-8838
(704) 941-0317
Mailing address
2901 FAIRCROFT WAY, MONROE, NC 28110
(704) 941-0317

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
05/26/2009
Last updated
05/26/2009
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