Individual
KIERSTIN MAZZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
935 E RIDGECREST BLVD, RIDGECREST, CA 93555-4368
(760) 371-1411
Mailing address
935 E RIDGECREST BLVD, RIDGECREST, CA 93555-4368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25253
CA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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