Individual
KAYLA BRIANNE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4715 KIRBY LOOP RD, FORT PIERCE, FL 34981-5345
(772) 577-6964
Mailing address
2201 SW 28TH ST APT 64, OKEECHOBEE, FL 34974-5788
(863) 697-6832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19595
FL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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