Individual
MRS. KACIE NICOLE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
516 ONE CENTER BLVD, APT. 203, ALTAMONTE SPRINGS, FL 32701-2229
(847) 809-1185
Mailing address
516 ONE CENTER BLVD, APT. 203, ALTAMONTE SPRINGS, FL 32701-2229
(847) 809-1185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14141
FL
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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