Organization
COASTAL KIDS OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MESSIER OT (OWNER)
(352) 422-6225
Entity
Organization
Contact information
Practice address
1860 NW 19TH ST, CRYSTAL RIVER, FL 34428-9000
(352) 422-6225
Mailing address
1860 NW 19TH ST, CRYSTAL RIVER, FL 34428-9000
(352) 422-6225
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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