Individual
KRISTI LYNN ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Mailing address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 11543
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 11543
CA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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