Individual
KELLIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250-8001
(904) 372-4070
Mailing address
2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250-8001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001632000
—
FL
Enumeration date
09/04/2008
Last updated
08/06/2012
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