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Individual

KIRSTEN BARBARA ANSPACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2532 W INDIANTOWN RD, SUITE 2, JUPITER, FL 33458-3935
(561) 748-5430
Mailing address
720 LAGOON DR, NORTH PALM BEACH, FL 33409-0000
(561) 775-2533

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
OT11078
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
888853100
FL
Enumeration date
01/26/2007
Last updated
08/20/2008
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