Individual
CHRISTINE KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1004 DORADO DR, ST AUGUSTINE, FL 32086-7075
(904) 477-2930
Mailing address
1004 DORADO DR, ST AUGUSTINE, FL 32086-7075
(904) 477-2930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9862
FL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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