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1407260367
KRISTINA SHUPERT
VIRGINIA BEACH, VA
NPI
1407260367
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Former Name
KRISTINA ETHRIDGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119006226)
Enumeration Date
2014-06-18
Last Update Date
2016-03-25
Business Address
-- KRISTINA SHUPERT M.S., OTR/L
4560 SOUTH BLVD SUITE 310
VIRGINIA BEACH, VA 23452-1160
Phone number: 757-490-3223
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Mailing Address
-- KRISTINA SHUPERT M.S., OTR/L
4560 SOUTH BLVD SUITE 310
VIRGINIA BEACH, VA 23452-1160
Phone number: 757-490-3223
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