MEDICARE: DR. ABIGAIL ELIZABETH KRONER OTD, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	17076	NC

General Provider Information

NPI Number	:	1750117750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL ELIZABETH KRONER OTD, OTR/L

Provider Business Mailing Address
First Line	:	145 NASHVILLE COMMONS DR
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1823
Country	:	US
Telephone Number	:	910-298-2331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 GROVES FIELD LN
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4242
Country	:	US
Telephone Number	:	919-818-4549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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