Individual
KATHRYN HARTMAN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15779
FL
225XP0200X
Pediatric Occupational Therapist
OT005684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014829900
—
FL
Enumeration date
05/20/2013
Last updated
01/17/2019
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