Individual
KRISTINE BADILLO CAVALLACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4016 RAINTREE RD STE 100A, CHESAPEAKE, VA 23321-3700
(757) 488-2864
Mailing address
4016 RAINTREE RD STE 100A, CHESAPEAKE, VA 23321-3700
(757) 488-2864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18164
FL
225XP0200X
Pediatric Occupational Therapist
0119006081
VA
Other
Enumeration date
02/14/2020
Last updated
10/26/2024
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