Individual
MISS KRISTINA MARIE DIMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
55 URBANA ST, CRANSTON, RI 02920-5136
(401) 301-0480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01926
MD
224Z00000X
Occupational Therapy Assistant
OTA00598
RI
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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