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Individual

MRS. KRISTY A CHUPRYNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3900 BIRCH ST STE 103, NEWPORT BEACH, CA 92660-2226
(949) 955-0010
Mailing address
1234 EVERGREEN ST, SANTA ANA, CA 92707-1404
(949) 436-0176

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8979
CA

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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