Individual
KIMBERLIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5456 QUIET LAKE PL, WESTLAKE, FL 33470-7021
(305) 467-6301
Mailing address
5456 QUIET LAKE PL, WESTLAKE, FL 33470-7021
(305) 467-6301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15750
FL
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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