Individual
MRS. JENNIFER CRISTOFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6140 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 226-0442
Mailing address
6140 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 226-0442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001769
GA
224Z00000X
Occupational Therapy Assistant
13803
FL
224Z00000X
Occupational Therapy Assistant
Primary
3355
SC
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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