Individual
VICTORIA KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3492 MARTIN HURST RD, TALLAHASSEE, FL 32312-1702
(850) 591-5761
Mailing address
1506 MEEKS RD, TALLAHASSEE, FL 32317-9531
(850) 591-5761
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17690
FL
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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