Individual
MS. KRISTY MARIE DESJARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(239) 772-4600
Mailing address
1300 SE 5TH TER, CAPE CORAL, FL 33990-5613
(407) 879-2845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11707
FL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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