Individual
KAYLA ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE# 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Mailing address
5535 S WILLIAMSON BLVD, SUITE# 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
222343
OR
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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