Individual
KYLE MCCREIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 AMANDA DR, SARASOTA, FL 34232-4012
(320) 492-6915
Mailing address
2520 AMANDA DR, SARASOTA, FL 34232-4012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17568
FL
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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