Individual
KRISTIN MARIE LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5419 FLAGLER ST, HOLLYWOOD, FL 33021
(573) 579-7047
Mailing address
5419 FLAGLER ST, HOLLYWOOD, FL 33021-8005
(573) 579-7047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11674
FL
Other
Enumeration date
02/02/2015
Last updated
07/28/2018
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