Individual
KRISTINA SLOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11011 SHERIDAN ST, SUITE 209, HOLLYWOOD, FL 33026-1505
(954) 431-5437
(954) 432-0202
Mailing address
7127 GOLDCRIS LN, NORTHAMPTON, PA 18067-9747
(610) 730-0507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17360
FL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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