NPI 1124513106

Kelly Elizabeth Desousa, MSATR

Practitioner Art Therapist Jacksonville, FL

Practice location

Address: 4282 Herschel St, Jacksonville, FL 32210-2247
Phone: (094) 447-7797

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 15-056 (FL)

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Registry record

NPI: 1124513106
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2018
Record last updated: 17 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.