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Individual

KETHER KALI TRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6641 DOUGLAS ST, HOLLYWOOD, FL 33024-2936
(954) 549-6537
Mailing address
6641 DOUGLAS ST, HOLLYWOOD, FL 33024-2936
(954) 549-6537

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14906
FL

Other

Enumeration date
11/29/2021
Last updated
11/29/2021
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