Organization
PEDIATRIC OCCUPATIONAL THERAPIST PA
Active
Organization
PEDIATRIC OCCUPATIONAL THERAPIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA RENA KERSEY OTR/L (OCCUPATIONAL THERAPIST)
(850) 582-2689
Entity
Organization
Contact information
Practice address
266 KIDD ST, FORT WALTON BEACH, FL 32548-4478
(850) 582-2689
(850) 244-0971
Mailing address
266 KIDD ST, FORT WALTON BEACH, FL 32548-4478
(850) 582-2689
(850) 244-0971
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
Update your record
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