Individual
KRISTENE SUSAN RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1075 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 255-4596
Mailing address
1075 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 255-4596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA21799
FL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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