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Individual

KRISTINA MARIE VANDERBILT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8181 NW 36TH ST STE 18, DORAL, FL 33166-6661
(305) 591-4181
Mailing address
637 E MOWRY CT, HOMESTEAD, FL 33030-8207
(305) 748-7863

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19970
FL

Other

Enumeration date
05/30/2019
Last updated
10/21/2021
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