Ezell, Edith Selden
Ezell, Edith Selden is an sole proprietor health care provider with primary practice located at 4 Jackson St Ne , Fort Walton Beach FL 32548-4925. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ezell, Edith Selden can be contacted via phone (850) 862-7227.Contact Information
Primary practice address
4 Jackson St Ne
Fort Walton Beach FL 32548-4925
Phone: (850) 862-7227
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 9614 | Florida |
Profile Details
NPI number | 1457435455 |
---|---|
LBN Legal business name | Ezell, Edith Selden |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457435455 | NPPES |
Florida | Other | OT10239 | FLORIDA LICENSE (OT) |
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