Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT5368 | FL |
NPI | 1003927781 |
---|---|
Provider Name | Mrs. Billie Kay Halsey |
First Address | Cape Coral, FL 33991 |
Second Address | Cape Coral, FL 33909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |