Douglas, Kirstin

Douglas, Kirstin is an sole proprietor health care provider with primary practice located at 455 West Warren Ave 200, Longwood FL 32750-4038. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Douglas, Kirstin can be contacted via phone (407) 260-0551.

Contact Information

Primary practice address
455 West Warren Ave 200 Longwood FL 32750-4038
Fax: (407) 265-9590
Website:

Health care specialties

Profile Details

NPI number 1104355528
LBN Legal business name Douglas, Kirstin
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104355528 NPPES
Florida Other OT18513 STATE OF FLORIDA DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

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