# MRS. KRISTINA KAY WARREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114051018
- **Gender:** F
- **Credential:** MOT,OT/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056008995 | IL | Yes |
| 225X00000X | Occupational Therapist | 31004218A | IN | — |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 06/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200688260 | — | IN |