Individual
MRS. KELLY YOUNG PARTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
37937 HEATHER PL, DADE CITY, FL 33525-5420
(813) 714-5815
(813) 779-1879
Mailing address
37937 HEATHER PL, DADE CITY, FL 33525-5420
(813) 714-5815
(813) 779-1879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 6031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019442800
—
FL
01
—
Z9537
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/20/2006
Last updated
10/01/2025
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