Individual
KASEY NULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
550 NATIONAL HEALTH CARE DR, DAYTONA BEACH, FL 32114-1494
(407) 927-3028
Mailing address
904 CONRAD DR, NEW SMYRNA BEACH, FL 32168-5827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12733
FL
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
11/01/2020
Last updated
11/08/2020
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