Individual
MRS. KRISTINA JANE SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2400 S HWY 27, CLERMONT, FL 34711-6816
(352) 394-0212
Mailing address
2400 S HWY 27, CLERMONT, FL 34711-6816
(352) 394-0212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887909500
—
FL
Enumeration date
05/08/2007
Last updated
01/24/2022
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