Individual
KIRK CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SE CENTRAL PKWY, STUART, FL 34994-3901
(772) 287-9912
Mailing address
262 SW STATLER AVE, PORT SAINT LUCIE, FL 34984-5020
(772) 626-1370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA15234
FL
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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