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Contact Information

KRISTIN M LIBBY, COTA/L
5419 FLAGLER ST
HOLLYWOOD, FL33021
 Phone: 573-579-7047
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KRISTIN M LIBBY · (Female)

NPI # 1750771598
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 02/02/2015
Last updated 07/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 11674
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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