Organization
KASCEL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MICHELLE BAKER OTD, OTR/L (OCCUPATIONAL THERAPIST)
(386) 585-5955
Entity
Organization
Contact information
Practice address
10 WATKINS PL, PALM COAST, FL 32164-7643
(386) 585-5955
Mailing address
10 WATKINS PL, PALM COAST, FL 32164-7643
(386) 585-5955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L16000012825
FL
252Y00000X
Early Intervention Provider Agency
OT14766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871679233
NPI PERSONAL NUMBER
TN
Enumeration date
07/19/2016
Last updated
01/12/2017
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