Provider Demographics
NPI:1851424295
Name:KENT, CAREY JOLETTA (OTR)
Entity Type:Individual
Prefix:MISS
First Name:CAREY
Middle Name:JOLETTA
Last Name:KENT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 NE LOQUAT LN
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-5084
Mailing Address - Country:US
Mailing Address - Phone:561-350-0721
Mailing Address - Fax:772-286-6353
Practice Address - Street 1:1001 SE OCEAN BLVD
Practice Address - Street 2:SUITE 104C
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2511
Practice Address - Country:US
Practice Address - Phone:772-286-6333
Practice Address - Fax:772-286-6353
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12684225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist