Individual
FARRAH MARIE KRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 EAST AVE, CLERMONT, FL 34711-3318
(407) 697-7471
Mailing address
1620 EAST AVE, CLERMONT, FL 34711-3318
(407) 697-7471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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