IndividualActive
Ke'Amber Paul, COTA
NPI 1467118562 · Occupational Therapy Assistant · Jasper, FL
Provider details
- NPI number
- 1467118562
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA17608 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
427 15th Ave Nw
Jasper, FL 32052-5874
Phone: (386) 792-1868
Fax: (352) 382-1146
Approximate (ZIP-level) locationGet directions
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.