Individual provider · Type 1 NPI

Kelly Eisenhauer, OTR/L

Occupational Therapist · Fernandina, FL

NPI number 1639728645 Active

Practice location

1885 S 14th St
Fernandina, FL 32034-3033

Mailing address

3901 University Blvd S
Jacksonville, FL 32216-4312

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X18354 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1639728645

Kelly Eisenhauer, OTR/L's National Provider Identifier is 1639728645, issued on Sep 11, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fernandina, FL. The record was last updated on Sep 11, 2019.