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Contact Information

KRISTEN D DEROUEN, MOT
161 MARINE STREET
SUITE A
ST. AUGUSTINE, N/A32084
 Phone: 225-278-3628
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTEN D DEROUEN · (Female)

NPI # 1609138262
Status Active
Credentials MOT
Entity Individual
Enumeration date 06/11/2012
Last updated 06/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 15224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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