Individual
KAYLA BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3802 CINNAMON FERN LOOP, CLERMONT, FL 34714-4924
(786) 246-2403
Mailing address
3802 CINNAMON FERN LOOP, CLERMONT, FL 34714-4924
(786) 246-2403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15239
FL
Other
Enumeration date
08/11/2016
Last updated
10/11/2016
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