Individual
KELLY LOU UANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1414 PIEDMONT DR E STE 100, TALLAHASSEE, FL 32308-7967
(850) 270-7374
(850) 270-5629
Mailing address
1414 PIEDMONT DR E STE 100, TALLAHASSEE, FL 32308-7967
(850) 270-7374
(850) 270-5629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15109
FL
225X00000X
Occupational Therapist
OT15109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010113300
—
FL
Enumeration date
10/28/2014
Last updated
03/02/2021
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