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Individual

KACI ECKENRODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
15 CYPRESS BRANCH WAY STE 207D, PALM COAST, FL 32164-8414
(386) 585-5955
Mailing address
177 BOSARVEY DR, ORMOND BEACH, FL 32176-6659

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14248
FL

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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