Individual
MRS. KIMBERLY ANN MAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLT-LANA
Contact information
Practice address
2321 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-7419
(770) 802-4446
(770) 802-4464
Mailing address
2320 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-7425
(770) 802-4446
(770) 802-4464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002000
GA
225XL0004X
Low Vision Occupational Therapist
OT002000
GA
Other
Enumeration date
03/02/2011
Last updated
05/19/2025
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