Individual
KAILEY TARA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
107 LONGWOOD AVE, ROCKLEDGE, FL 32955-2827
(321) 338-2419
Mailing address
3390 FLOUNDER CREEK RD, MIMS, FL 32754-4809
(321) 505-0947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT25743
FL
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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