Individual
KELLI NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3387 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3351
(859) 932-9257
Mailing address
7752 NAVARRE PKWY APT 323, NAVARRE, FL 32566-5502
(850) 932-9257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTHA12226
FL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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