Individual
KIMBERLY PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
2420 PALUXY ST, NACOGDOCHES, TX 75964-3408
(936) 553-1501
Mailing address
274 FEEDER ACCESS RD, NACOGDOCHES, TX 75964-2203
(936) 553-1501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
209086
TX
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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