Individual
MRS. KRISTIN R GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
67 HIGBEE AVE, SOMERS POINT, NJ 08244-2323
(609) 204-4849
(609) 653-1258
Mailing address
67 HIGBEE AVE, SOMERS POINT, NJ 08244-2323
(609) 204-4849
(609) 653-1258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46T400431900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46T400431900
LICENSE
NJ
Enumeration date
10/04/2012
Last updated
10/04/2012
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