Individual
MS. CHRISTINA DEROIA KAYSER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z042U
BLUECROSS/BLUESHIELD
FL
Enumeration date
11/23/2005
Last updated
07/08/2007
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