Individual
MS. KARI DEMARIS EICENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
524 KINGSLEY AVE, ORANGE PARK, FL 32073-4830
(904) 215-7200
(904) 541-0616
Mailing address
5339 EULACE RD, JACKSONVILLE, FL 32210-8026
(904) 535-3943
(904) 541-0616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6788
FL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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