Individual
MISS KIMBERLY SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1505 FORT CLARKE BLVD APT 11105, GAINESVILLE, FL 32606-9120
(904) 315-6269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10057
FL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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