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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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