Individual
KIRSTEN ELIZABETH BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4113 NW 6TH ST STE BC, GAINESVILLE, FL 32609-0731
(352) 376-6300
(352) 372-0661
Mailing address
2801 NW 23RD BLVD APT M85, GAINESVILLE, FL 32605-5920
(630) 779-7693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20817
FL
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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