Individual
MS. KRISTIN BRITT DEVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4 LOCUST CIR, SHOREHAM, NY 11786-1130
(516) 380-7868
Mailing address
4 LOCUST CIR, SHOREHAM, NY 11786-1130
(516) 380-7868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008839-1
NY
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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