Individual
KELSEY GILLIAN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 IMAGE CT, AUBURNDALE, FL 33823-9309
(413) 512-1814
Mailing address
158 IMAGE CT, AUBURNDALE, FL 33823-9309
(413) 512-1814
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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