Individual
MRS. CHRIS ANN TALLBACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9077 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3405
(772) 335-4770
(772) 335-4133
Mailing address
9077 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3405
(772) 335-4770
(772) 335-4133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3086
FL
Other
Enumeration date
08/05/2011
Last updated
02/07/2020
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