Individual
MS. KRISTEN KATHLEEN HERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
100 CROWN COLONY CT, LEXINGTON, SC 29073-7144
(914) 714-4157
Mailing address
100 CROWN COLONY CT, LEXINGTON, SC 29073-7144
(914) 714-4157
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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