Individual
MS. KATHLEEN A EUSTACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 BROKEN SOUND PKWY, BOCA RATON, FL 33487-2773
(800) 875-8999
Mailing address
22279 AUGUSTA AVE, PORT CHARLOTTE, FL 33952-5514
(941) 204-7714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09061700
NJ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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