Individual
KRISTIE A. CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(813) 662-1060
(813) 662-0530
Mailing address
6226 INTERBAY AVE, TAMPA, FL 33611-4907
(813) 412-6699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13872
FL
Other
Enumeration date
12/20/2009
Last updated
12/20/2009
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