Individual
KRISTEN LEEANNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
2330 SW WILLISTON RD APT 2934, GAINESVILLE, FL 32608-4092
(352) 584-3696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA17150
—
FL
Enumeration date
11/05/2019
Last updated
11/05/2019
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