Provider Demographics
NPI:1770801052
Name:DOYLE, KRISTI LYNN (OT)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:DOYLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9960 NW 116TH WAY
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1167
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:9090 SW 87TH CT
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2315
Practice Address - Country:US
Practice Address - Phone:305-412-3336
Practice Address - Fax:305-412-3435
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2013-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY014900-1225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation