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NPI Code Detail

MEDICARE: KRISTINA LEE ALTIERI OTR/L

MEDICARE: KRISTINA LEE ALTIERI OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist
2225X00000XOccupational TherapistOT10949FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356438337
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA LEE ALTIERI OTR/L
Provider Business Mailing Address
First Line : I OAKWOOD BLVD
Second Line : SUIT 130
City : HOLLYWOOD
State : FL
Zip : 33020
Country : US
Telephone Number : 954-925-3844
Fax Number : 954-925-3845
Provider Business Practice Location Address
First Line : 1 OAKWOOD BLVD STE 130
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-1937
Country : US
Telephone Number : 954-925-3844
Fax Number : 954-925-3845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 09/23/2011

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Directions to “ KRISTINA LEE ALTIERI OTR/L” Practice Location

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