Individual
KRISTI RENE VISAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Mailing address
2810 GRAND AVE, APT 12, AMES, IA 50010-4642
(515) 890-7150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000784
IA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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