Individual
KAYLEIGH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
164 S TESSIER DR, ST PETE BEACH, FL 33706-2818
(727) 480-0397
Mailing address
164 S TESSIER DR, ST PETE BEACH, FL 33706-2818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20712
FL
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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