Individual
KATELYN BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12931 SW 52ND ST, SW RANCHES, FL 33330-2731
(954) 235-7195
Mailing address
12931 SW 52ND ST, SW RANCHES, FL 33330-2731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20770
FL
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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