Individual
MRS. LINDA JOYCE KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 LONG POND RD, ROCHESTER, NY 14612-3012
(585) 966-4104
Mailing address
800 LONG POND RD, ROCHESTER, NY 14612-3012
(585) 966-4104
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00337-1
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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