Individual
MRS. KENYETTA FRANCINE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
95139 JEANA LN, FERNANDINA BEACH, FL 32034-7498
(704) 604-4699
Mailing address
95139 JEANA LN, FERNANDINA BEACH, FL 32034-7498
(704) 604-4699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106450100
—
FL
Enumeration date
04/05/2012
Last updated
11/19/2020
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