Individual
KRISTEN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Contact information
Practice address
5175 TAMIAMI TRL E, NAPLES, FL 34113-4100
(239) 920-8710
Mailing address
7946 WEXFORD DR, NAPLES, FL 34104-7447
(305) 301-2617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2663
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT2663
FL
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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