Individual
MRS. KRISTI ANN FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 TAMIAMI TRL S, VENICE, FL 34285-3653
(941) 486-5444
(941) 486-5489
Mailing address
1000 JACKSON RD, SUITE 100, GOODLETTSVILLE, TN 37072-3174
(615) 851-5350
(615) 851-5399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10517
FL
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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