Healthcare Provider Details

I. General information

NPI: 1952238362
Provider Name (Legal Business Name): KRISTA CONN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 PARKER RD
RICHMOND CA
94806-2742
US

IV. Provider business mailing address

146 FIG TREE LN APT 6A
MARTINEZ CA
94553-6833
US

V. Phone/Fax

Practice location:
  • Phone: 510-307-4630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: