Individual
KRISTEN NICOLE IMPERIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
9191 TOWNE CENTRE DR, SAN DIEGO, CA 92122-1225
(858) 554-3711
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3711
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
46TR00647800
NJ
225XH1200X
Hand Occupational Therapist
Primary
OT17556
CA
Other
Enumeration date
03/17/2015
Last updated
08/03/2022
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