Individual
KRISTI LYNEE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
534 S 5TH ST, MACCLENNY, FL 32063-2602
(904) 421-2119
Mailing address
PO BOX 8847, FLEMING ISLAND, FL 32006-0019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4272
FL
Other
Enumeration date
11/05/2008
Last updated
01/09/2009
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