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Individual
MRS. KRISTEN KANTNER LONDON
Active
Individual
MRS. KRISTEN KANTNER LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11629
FL
225100000X
Physical Therapist
3079
GA
225100000X
Physical Therapist
4250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11629
PT LICENSE
FL
01
—
4250
PT LICENSE
NC
Enumeration date
03/28/2006
Last updated
10/20/2009
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