Sustaita, Kelly Ann
Sustaita, Kelly Ann is an sole proprietor health care provider with primary practice located at 311 N Clyde Morris Blvd Ste 50 , Daytona Beach FL 32114-2701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Sustaita, Kelly Ann can be contacted via phone (386) 425-7800.Contact Information
Primary practice address
311 N Clyde Morris Blvd Ste 50
Daytona Beach FL 32114-2701
Phone: (386) 425-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1407691256 |
|---|---|
| LBN Legal business name | Sustaita, Kelly Ann |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2024 |
| Last updated | Feb 25th, 2025 - about last year |
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.
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