Individual
KIRSTIE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2000 BROOKSHIRE CIR, MELBOURNE, FL 32904-6676
(502) 851-6869
Mailing address
2000 BROOKSHIRE CIR, MELBOURNE, FL 32904-6676
(502) 851-6869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21149
FL
225XH1200X
Hand Occupational Therapist
OT21149
FL
225XP0200X
Pediatric Occupational Therapist
OT21149
FL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
10/06/2016
Last updated
12/18/2024
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