Individual
KRISTI J KERSTEN-TENBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 N 8TH ST, MOUNT VERNON, WA 98273-2453
(360) 770-1416
Mailing address
1009 N 8TH ST, MOUNT VERNON, WA 98273-2453
(360) 770-1416
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003552
WA
Other
Enumeration date
11/15/2006
Last updated
08/04/2023
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