Individual
KRISTINA CORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
856 MILLBROOK DR, AVON, IN 46123-7454
(317) 753-4391
Mailing address
856 MILLBROOK DR, AVON, IN 46123-7454
(317) 753-4391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006797A
IN
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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