Individual
NYA KAI CAUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 SW 45TH TER, WEST PARK, FL 33023-5538
(954) 699-6053
Mailing address
3761 SW 45TH TER, WEST PARK, FL 33023-5538
(954) 699-6053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14641
FL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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