Individual
KAYLA JEAN DRISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16785 162ND ST, LIVE OAK, FL 32060-0403
(386) 266-8579
Mailing address
16785 162ND ST, LIVE OAK, FL 32060-0403
(386) 266-8579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20368
FLORIDA LICENSE
FL
Enumeration date
12/13/2019
Last updated
12/13/2019
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