Individual
KACEY BAZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14286 BEACH BLVD STE 34, JACKSONVILLE, FL 32250-1570
(904) 345-7510
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26589
FL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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