Provider Demographics
NPI:1639321854
Name:KIRSCHNER, KORI LYNN (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:KORI
Middle Name:LYNN
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13201 HEATHER MOSS DR
Mailing Address - Street 2:APT. 1502
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5552
Mailing Address - Country:US
Mailing Address - Phone:561-400-8687
Mailing Address - Fax:
Practice Address - Street 1:13201 HEATHER MOSS DR
Practice Address - Street 2:APT. 1502
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5552
Practice Address - Country:US
Practice Address - Phone:561-400-8687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 2322174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist