Individual
KELLY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 886-8450
Mailing address
1916 STRICKLAND RD, NEPTUNE BEACH, FL 32266-1535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16209
FL
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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