Individual
COURTNEY KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1682 PENMAN RD, JACKSONVILLE BEACH, FL 32250-3746
(904) 720-6472
Mailing address
1085 ATLANTIC BLVD APT 97, ATLANTIC BEACH, FL 32233-3343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19395
FL
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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