Individual
KRISTINA NICOLE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Mailing address
4631 WHITMAN LN SE STE D, LACEY, WA 98513-2250
(360) 338-0181
(360) 338-0257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60976639
WA
Other
Enumeration date
06/21/2011
Last updated
11/25/2019
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