Individual
KRISTEN CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1414 69TH AVE W, BRADENTON, FL 34207-5850
(727) 803-1102
Mailing address
260 1ST AVE S STE 200-161, SAINT PETERSBURG, FL 33701-4361
(727) 803-1102
(727) 502-6027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20535
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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