Individual
KRISTEL MARIANNE BERDUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R
Contact information
Practice address
1221 SW 27TH AVE, SUITE 301, MIAMI, FL 33135-4765
(786) 486-0285
(305) 260-9177
Mailing address
1221 SW 27TH AVE, SUITE 301, MIAMI, FL 33135-4765
(786) 486-0285
(305) 260-9177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT13475
STATE OF FLORIDA
FL
Enumeration date
01/13/2010
Last updated
03/01/2010
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