Individual
KENYATTA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 WOODLAWN DR, CRESTVIEW, FL 32536-2149
(850) 826-8581
Mailing address
149 WOODLAWN DR, CRESTVIEW, FL 32536-2149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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