Individual
MRS. KRISTINA BOBLITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2999 CLEVELAND AVE STE D, SANTA ROSA, CA 95403-2761
(707) 696-7367
Mailing address
PO BOX 1544, SEBASTOPOL, CA 95473-1544
(707) 696-7367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 3583
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 3583
CA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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