Provo, Kristin Marie
Provo, Kristin Marie is an individual health care provider with primary practice located at Kidstart 5871 Groveland Station Rd, Mount Morris NY 14510-9767. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Provo, Kristin Marie can be contacted via phone (585) 658-4023.Contact Information
Primary practice address
Kidstart 5871 Groveland Station Rd
Mount Morris NY 14510-9767
Phone: (585) 658-4023
Fax: (585) 658-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 033003 | New York |
Profile Details
| NPI number | 1275849895 |
|---|---|
| LBN Legal business name | Provo, Kristin Marie |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2010 |
| Last updated | Dec 22nd, 2023 - about last year |
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.
Popular Providers
-
Gulrajani, Ritika R
2595 Route 10 East , Morris Plains NJ 07950 -
Francisco, Darren
11 Northview Dr , Morris Plains NJ 07950-2012 -
O'Rourke, James
100 The American Rd Suite 114, Morris Plains NJ 07950-2443 -
Griese, Tricia Anne
Kid Start 5871 Groveland Station Rd, Mt. Morris NY 14510 -
Hopkins, Megan
5871 Groveland Station Rd , Mount Morris NY 14510-9767 -
Dosunmu, Olufemi A
14 Brooklawn Dr , Morris Plains NJ 07950-3108 -
Medrano, Armie
2429 State Route 10 E Apartment 10A, Morris Plains NJ 07950-1356 -
Rugg, Jolene Anna
5871 Groveland Station Rd , Mount Morris NY 14510-9767