Individual
KRISTEN KINKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
Mailing address
12400 CHIASSO WAY, CHESTERFIELD, VA 23838-2189
(804) 337-0773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21027
FL
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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