Individual
KRISTAL K HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4208 W WYOMING AVE, TAMPA, FL 33616-1150
(813) 453-2377
Mailing address
4208 W WYOMING AVE, TAMPA, FL 33616-1150
(813) 453-2377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10097
FL
225X00000X
Occupational Therapist
2878
NM
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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