Individual
MRS. KIMBERLY JO VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2123
Mailing address
206 E FULTON ST, BAY CITY, MI 48706-3626
(989) 391-9707
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201007153
MI
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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