Individual
MS. KRISTY L SCHABACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
455 W WARREN AVE STE 200, LONGWOOD, FL 32750-4038
(407) 260-0551
Mailing address
455 W WARREN AVE STE 200, LONGWOOD, FL 32750-4038
(407) 260-0551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11550
FL
225X00000X
Occupational Therapist
Primary
OT11550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669679650
—
FL
01
—
OT11550
OT LICENSE
FL
Enumeration date
07/02/2007
Last updated
01/31/2022
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