Individual
KRISTINA KETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
(904) 248-8200
Mailing address
3 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTH17075
FL
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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