Individual
KATIA CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 BEACH BLVD, JACKSONVILLE, FL 32207-3704
(904) 396-1462
Mailing address
6200 BARNES RD S APT C17, JACKSONVILLE, FL 32216-5631
(781) 510-3160
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/13/2017
Last updated
10/26/2023
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