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Individual

TRISTA SPRISSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1725 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
Mailing address
5512 FORREST DR, ORANGE PARK, FL 32073-7259

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18520
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
.
FL
Enumeration date
04/10/2022
Last updated
04/10/2022
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