Individual
KRISTEN BREVOORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N COOPER AVE, LOCKLAND, OH 45215-3011
(513) 563-5000
Mailing address
1778 ROBINWAY DR, CINCINNATI, OH 45230-2240
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006973
OH
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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