Individual
KRISTON ELAINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2711 CAPITAL MEDICAL BLVD STE E, TALLAHASSEE, FL 32308-4446
(850) 210-1172
Mailing address
113 REICHDORFF ACRES RD, MONTICELLO, FL 32344-4839
(251) 282-0919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17875
FL
Other
Enumeration date
09/24/2020
Last updated
09/25/2020
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