Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 14805 | FL |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 14805 | FL |
NPI | 1447379169 |
---|---|
Provider Name | Mrs. Kelly Parkinson Hemphill |
First Address | Dunedin, FL 34698-7519 |
Second Address | Tampa, FL 33612-4745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 27/06/2014 |