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
Phone: (407) 260-0551
Fax: (407) 265-9590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT18513 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104355528 | NPPES |
Florida | Other | OT18513 | STATE OF FLORIDA DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE |
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