Individual
KRISTEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
469 BOTANY BLVD, SANTA ROSA BEACH, FL 32459-7196
(773) 308-5682
Mailing address
469 BOTANY BLVD, SANTA ROSA BEACH, FL 32459-7196
(773) 308-5682
(331) 215-4711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20006
FL
Other
Enumeration date
05/28/2007
Last updated
07/29/2019
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