CRISTINA PROVOST

KANNAPOLIS, NC
NPI1447784558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  10398)
Enumeration Date2017-04-14
Last Update Date2017-04-14
Business Address
-- CRISTINA PROVOST
206 WATER RIDGE AVE
KANNAPOLIS, NC 28083-6290
Phone number: 704-273-9815
Mailing Address
-- CRISTINA PROVOST
206 WATER RIDGE AVE
KANNAPOLIS, NC 28083
Phone number:
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