Clewell, Kristin Marie
Clewell, Kristin Marie is an individual health care provider with primary practice located at 137 Overhill Dr Suite 102, Mooresville NC 28117-8006. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Clewell, Kristin Marie can be contacted via phone (704) 799-6824.Contact Information
Primary practice address
137 Overhill Dr Suite 102
Mooresville NC 28117-8006
Phone: (704) 799-6824
Fax: (704) 799-6825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4394 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 4394 | North Carolina |
Profile Details
| NPI number | 1154387330 |
|---|---|
| LBN Legal business name | Clewell, Kristin Marie |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154387330 | NPPES |
| North Carolina | MEDICAID | 7301459 |
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