Organization
KIDZ KORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HORIN (OWNER)
(850) 200-4348
Entity
Organization
Contact information
Practice address
4565 COMMERCIAL DR STE 105, NICEVILLE, FL 32578-8856
(850) 353-2415
Mailing address
220 EGLIN PKWY SE, FORT WALTON BEACH, FL 32548-5899
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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