Individual
KELLY TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 225-0426
Mailing address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
01/25/2022
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