Individual
CARLA RENA KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
266 KIDD ST, FORT WALTON BEACH, FL 32548-4478
(850) 582-2689
(850) 244-0971
Mailing address
266 KIDD ST, FORT WALTON BEACH, FL 32548-4478
(850) 582-2689
(850) 244-0971
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0001047
FL
225XP0200X
Pediatric Occupational Therapist
OT1047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002115800
—
FL
05
—
103169100
—
FL
05
—
880450800
—
FL
05
—
88045088
—
FL
Enumeration date
07/18/2006
Last updated
10/14/2021
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