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Individual

KRISTINA STAAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
201 BOOTH ST, ELKTON, MD 21921-5618
(410) 996-5450
Mailing address
177 OLIVINE CIR, TOWNSEND, DE 19734-2004
(302) 438-2075

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
08663
MD

Other

Enumeration date
03/12/2019
Last updated
03/12/2019
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