Individual
KIMBERLY ANNE POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3037 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2225
(863) 866-6931
Mailing address
1625 VILLAGE CENTER DR APT 202, LAKELAND, FL 33803-2884
(352) 328-8692
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT12952
FL
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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