Individual
KRISTIN CLIFFORD STOCKBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1844
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y010621NH01
ANTHEM
NH
01
—
798819
MVP
NH
Enumeration date
02/07/2007
Last updated
02/25/2021
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