Individual
MRS. KRISTIN NICOLE KISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9200 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-4458
(410) 391-2600
Mailing address
9200 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-4458
(410) 391-2600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
235468
MD
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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