Organization · NPI-2

Kayla Gittens LLC

Occupational Therapist · Port Saint Lucie, FL

NPI number1790478675
StatusActive
Last updated in NPPESMar 31, 2024

Details

NPI
1790478675
Entity type
Organization (NPI-2)
Legal business name
Kayla Gittens LLC
Organization subpart
No
Enumeration date
May 29, 2023
Certification date
Mar 31, 2024
Last updated
Mar 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

2825 Se Treasure Island Rd
Port Saint Lucie, FL 34952-5729

Phone 772-494-7373

Mailing address

2825 Se Treasure Island Rd
Port Saint Lucie, FL 34952-5729

Authorized official

Kayla Gittens
Owner/Occupational Therapist
7722370130

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