Individual
KRISTIN MARIE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7927 STATE ROAD 52, HUDSON, FL 34667-6783
(727) 233-7215
Mailing address
10529 BUCKS RUN, NEW PORT RICHEY, FL 34654-5854
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15571
FL
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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