License Directory

Kristina de la Bastide

Expired

California license 20513

License

Licensed by
California Board of Occupational Therapy
License number
20513
Status
Expired (Delinquent)
First issued
October 11, 2019
Expired
April 30, 2024
License holder
Kristina de la Bastide
Entity type
Individual

Classifications

More from the license record

License type code
7101

Contact

423 E 23rd St
PM&R Occupational Therapy 7063S
New York, NY 10010-5011
New York County