Pediatric Occupational Therapist Pa

LBN: Pediatric Occupational Therapist Pa
Pediatric Occupational Therapist Pa is an health care organization with primary practice located at 266 Kidd St , Fort Walton Beach FL 32548-4478. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Pediatric Occupational Therapist Pa can be contacted via phone (850) 582-2689, or through Kersey, Carla Rena via phone (850) 582-2689.

Contact Information

Primary practice address
266 Kidd St Fort Walton Beach FL 32548-4478
Phone: (850) 582-2689
Fax: (850) 244-0971
Website:
Map and Directions
Authorized official contact:
Name: Kersey, Carla Rena OTR/L
Phone: (850) 582-2689

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1972266104
LBN Legal business name Pediatric Occupational Therapist Pa
DBA Doing business as
Authorized official Kersey, Carla Rena OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2021
Last updated Oct 14th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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