Individual
MS. KRISTIN KARA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
708 CALIFORNIA ST SE, ALBUQUERQUE, NM 87108-3708
(505) 717-9508
Mailing address
708 CALIFORNIA ST SE, ALBUQUERQUE, NM 87108-3708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2823
NM
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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