Individual
KAILEY WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 68TH ST N, ST PETERSBURG, FL 33710-8744
(727) 828-8002
Mailing address
260 1ST AVE S STE 200, ST PETERSBURG, FL 33701-4364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20529
FL
Other
Enumeration date
07/15/2020
Last updated
07/16/2020
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