Individual
KRISTIN MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
100 CARMEL MANOR DR, FORT THOMAS, KY 41075-2300
(859) 781-5111
Mailing address
954 PHILADELPHIA ST, COVINGTON, KY 41011
(859) 760-8387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
267999
KY
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/12/2021
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