Individual
KAITLYN LAHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6061 SAINT JOHNS AVE STE 1, PALATKA, FL 32177-6858
(386) 312-0022
Mailing address
1061 BUCCANEER BLVD, GREEN COVE SPRINGS, FL 32043-2357
(443) 244-7638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21029
FL
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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