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Individual
KRISTY JOY PAYNE
Active
Individual
KRISTY JOY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17006
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT17006
OT LICENSE
CA
Enumeration date
08/18/2014
Last updated
02/02/2017
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