Individual
MRS. KRISTINA MOHRHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 933-4051
Mailing address
PO BOX 83188, SAN DIEGO, CA 92138-3188
(619) 933-4051
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
41024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41024
CTRS
CA
Enumeration date
06/23/2011
Last updated
03/08/2012
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