Individual
MS. KRISTEN ELIZABETH CINQUEMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6030 SOUTHARD TRACE, CUMMING, GA 30040
(770) 886-6204
Mailing address
35 PEARL CHAMBERS DR, DAWSONVILLE, GA 30534-3915
(504) 214-1674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004961
GA
Other
Enumeration date
09/22/2009
Last updated
05/29/2012
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