Individual
KELLY ANNETT QUASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
1881 FAUN RD, VENICE, FL 34293-1511
(941) 468-5369
Mailing address
1881 FAUN RD, VENICE, FL 34293-1511
(941) 468-5369
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811822100
—
FL
Enumeration date
11/10/2006
Last updated
04/20/2026
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