Individual
KEITH E BIRCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
1610 BELCHER RD S # SITE146, LARGO, FL 33771-4508
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15890
FL
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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