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Individual

KRISTEN COUNTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 COLUMBUS DR, PLYMOUTH, IN 46563-1878
(574) 935-8446
Mailing address
304 S SLATE ST, CULVER, IN 46511-1627

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004564A
IN

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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