Individual
KAYLA BROOKE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2104 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1316
(850) 862-3728
(850) 862-6270
Mailing address
2104 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1316
(850) 862-3728
(850) 862-6270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012179000
—
FL
Enumeration date
08/01/2012
Last updated
05/20/2015
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