Individual
KRISTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 VIRGINIA AVE STE 14, FORT PIERCE, FL 34982-5829
(772) 464-3303
Mailing address
800 VIRGINIA AVE STE 14, FORT PIERCE, FL 34982-5829
(772) 464-3303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT19982
STATE LICENSE NUMBER
FL
Enumeration date
04/29/2019
Last updated
04/29/2019
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