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Organization

CLOSE THE GAP THERAPY SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETH ANNE KELLEY OTR/L (OCCUPATIONAL THERAPIST/ OWNER)
(904) 304-3902
Entity
Organization

Contact information

Practice address
2640 SCOTT MILL DR, JACKSONVILLE, FL 32223-6542
(904) 304-3902
(904) 880-8047
Mailing address
2640 SCOTT MILL DR, JACKSONVILLE, FL 32223-6542
(904) 304-3902
(904) 880-8047

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13759
FL
235Z00000X
Speech-Language Pathologist
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001583700
FL
Enumeration date
08/09/2018
Last updated
03/04/2019
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