Individual
KELLY REIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 FALCONWOOD PL, LITHIA, FL 33547-5830
(941) 705-0565
Mailing address
5909 FALCONWOOD PL, LITHIA, FL 33547-5830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10120
FL
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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