Individual
KRISTINA LEE DIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2499
(574) 523-3242
Mailing address
317 RUNAWAY BAY CIR APT 2B, MISHAWAKA, IN 46545-8032
(810) 288-5726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007670A
IN
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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