Individual
KRISTEN E STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1200 VAN VOORHIS RD, APT. E, MORGANTOWN, WV 26505-3443
(304) 381-2345
Mailing address
1200 VAN VOORHIS RD, APT. E, MORGANTOWN, WV 26505-3443
(304) 381-2345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1153
WV
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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