Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin Bruner

Individual provider Occupational Therapy Assistant · NPI 1104363100

Kristin Bruner is an Occupational Therapy Assistant in Cocoa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
3

Practice location Address checks out

3657 Longbow Rd
Cocoa, FL 32926-4442
Phone: (321) 877-8590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT21708 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA9712 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OTA9712 (FL)

Record details

NPI number1104363100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2017
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing address3657 Longbow Rd, Cocoa, FL 32926-4442

Other providers in Cocoa