Individual
MS. TRAKENYA T KILLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
Mailing address
1127 EDITH DR, DAYTONA BEACH, FL 32117-3934
(386) 265-9733
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/27/2018
Last updated
07/28/2021
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