Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 13602 | FL |
Y | 225XH1200X | Occupational Therapist - Hand | OT13602 | FL |
NPI | 1124354246 |
---|---|
Provider Name | Ms. Kristina Lee Linares |
First Address | Lake Mary, FL 32746-4871 |
Second Address | Lake Mary, FL 32746-4871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2009 |
Last Update Date | 31/01/2022 |