Organization
KINETIC REHAB SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VERNON SMITH OTR/L/MOT (ADMINISTRATOR)
(904) 755-1311
Entity
Organization
Contact information
Practice address
12615 BRADY PLACE BLVD, JACKSONVILLE, FL 32223-2590
(904) 755-1311
(904) 239-5984
Mailing address
12615 BRADY PLACE BLVD, JACKSONVILLE, FL 32223-2590
(904) 755-1311
(904) 239-5984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12624
FL
Other
Enumeration date
03/23/2011
Last updated
04/21/2011
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