Individual
JENNIFER KIELLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 FRUITVILLE RD, SUITE 145, SARASOTA, FL 34232-2268
(941) 377-9361
(941) 371-7657
Mailing address
5045 FRUITVILLE RD, SUITE 145, SARASOTA, FL 34232-2268
(941) 377-9361
(941) 371-7657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9946
FL
Other
Enumeration date
02/05/2009
Last updated
09/12/2011
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