Most Relevant Information
Provider Data
| NPI Number: | 1003514571 |
| Provider Name: | KELLY CORDASCO |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 21253 |
Most Important Dates
| Enumeration Date: | 02/23/2023 |
| Last Updated: | 02/23/2023 |
Provider Practice Location
5691 NAPLES BLVD
NAPLES
FL
341092023
Practice Location Phone/Fax
| Phone: | 2395926100 |
| Fax: |
Provider Mailing Location
405 FIFTH AVE S
NAPLES
FL
341026350
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |