KRISTIE SMITH RUSSELL

BARTOW, FL
NPI1326367061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA11145)
Enumeration Date2010-05-20
Last Update Date2010-05-20
Business Address
-- KRISTIE SMITH RUSSELL COTA
2120 MARSHALL EDWARDS DR
BARTOW, FL 33830-6731
Phone number: 863-534-1862
Mailing Address
-- KRISTIE SMITH RUSSELL COTA
980 E CHURCH ST BLDG A 102
BARTOW, FL 33830-4104
Phone number: 863-677-4605
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