Individual
KATIE KESTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COLEMAN DR, SAINT AUGUSTINE, FL 32084
(727) 967-1036
Mailing address
2 COLEMAN DR, SAINT AUGUSTINE, FL 32084-2873
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/20/2018
Last updated
08/20/2018
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