Individual
MRS. KEIRA NAKITA GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4528 SW 54TH ST, UNIT 302, FORT LAUDERDALE, FL 33314-6757
(954) 649-4708
Mailing address
4528 SW 54TH ST, UNIT 302, FORT LAUDERDALE, FL 33314-6757
(954) 649-4708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT14577
FL
225XM0800X
Mental Health Occupational Therapist
OT14577
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT14577
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT14577
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT14577
FL
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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