Wright, Kellie

Wright, Kellie is an individual health care provider with primary practice located at 2730 Isabella Blvd Suite 10, Jacksonville Beach FL 32250-8001. 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. Wright, Kellie can be contacted via phone (904) 372-4070.

Contact Information

Primary practice address
2730 Isabella Blvd Suite 10 Jacksonville Beach FL 32250-8001
Phone: (904) 372-4070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT13924 Florida

Profile Details

NPI number 1619125499
LBN Legal business name Wright, Kellie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Aug 6th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619125499 NPPES
Florida MEDICAID 001632000

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