Individual
KIMBERLY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 SANFORD AVE, CATONSVILLE, MD 21228-5140
(443) 829-2102
Mailing address
139 SANFORD AVE, CATONSVILLE, MD 21228-5140
(443) 829-2102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00636
IONAL THERAPY
MD
Enumeration date
01/20/2015
Last updated
01/20/2015
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