Individual
KRISTEN MARIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
(904) 725-8044
Mailing address
2219 NATHAN DR W, JACKSONVILLE, FL 32216-4467
(904) 226-6640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14857
FL
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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