Individual
KELLY HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1655 SE WALTON RD, PORT ST LUCIE, FL 34952-7657
(772) 337-1333
Mailing address
1300 SW NIKOMA ST, PALM CITY, FL 34990-2739
(352) 219-2497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10369
FL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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