Individual
KRISTIN WOLLENZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1958 CEDAR RIVER CT, FLEMING ISLAND, FL 32003-7939
(904) 304-2284
Mailing address
1958 CEDAR RIVER CT, FLEMING ISLAND, FL 32003-7939
(904) 304-2284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTA12556
FL
225X00000X
Occupational Therapist
Primary
OTA2799
TN
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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