Individual provider · NPI-1

Kristen Baucom, OT/R

Occupational Therapist · Kannapolis, NC

NPI number1265766760
StatusActive
Last updated in NPPESSep 30, 2009

Details

NPI
1265766760
Entity type
Individual (NPI-1)
Name
Ms. Kristen Baucom
Credential
OT/R
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 30, 2009
Last updated
Sep 30, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4188NCYes

Practice location

906 Buick Ave
Kannapolis, NC 28083-5014

Phone 704-933-6409

Mailing address

906 Buick Ave
Kannapolis, NC 28083-5014

Phone 704-933-6409

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