Individual
MRS. KERI DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10676 MARVIN JONES BLVD, LIVE OAK, FL 32064-8242
(386) 658-5550
Mailing address
619 NE COUNTY ROAD 450, BRANFORD, FL 32008-8327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14011
FL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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