Individual
KRISTIN RENEE VITALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 N STATE ROUTE 741, LEBANON, OH 45036-3313
(513) 932-2020
Mailing address
488 SAINT JAMES PL, SPRINGBORO, OH 45066-9746
(937) 626-0329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA004308
OH
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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