MEDICARE: KARING FOR LITTLE HANDS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT2150	FL

General Provider Information

NPI Number	:	1750824413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARING FOR LITTLE HANDS, INC

Provider Business Mailing Address
First Line	:	1862 SEMINOLE RD
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5916
Country	:	US
Telephone Number	:	904-568-4014
Fax Number	:	866-421-0880

Provider Business Practice Location Address
First Line	:	1862 SEMINOLE RD
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5916
Country	:	US
Telephone Number	:	904-568-4014
Fax Number	:	866-421-0880

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN S FOSTER
Credential	:	OTR/L
Telephone Number	:	904-568-4014

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	11/29/2016

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