Individual
KAILEY MARIAH BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2811 KINGDOM AVE, MELBOURNE, FL 32934-7587
(321) 576-6025
Mailing address
2811 KINGDOM AVE, MELBOURNE, FL 32934-7587
(321) 576-6025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
21675
FL
225X00000X
Occupational Therapist
Primary
OT21675
FL
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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