Individual
KAYLEE GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
3066 S JOG RD, GREENACRES, FL 33467-2053
(561) 450-5080
Mailing address
7302 NW 61ST ST, TAMARAC, FL 33321-6037
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18256
FL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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