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Individual

KYLEIGH ALEXIS BERNATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
515 CHESAPEAKE DR, TARPON SPRINGS, FL 34689-2515
(727) 938-6513
Mailing address
2621 W GRAND RESERVE CIR APT 425, CLEARWATER, FL 33759-3975

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA008325
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA19370
FL

Other

Enumeration date
10/20/2022
Last updated
04/03/2023
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