Individual
MS. KIMBERLY SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
709 TAYLOR ST, DAYTON, OH 45404-1633
(937) 219-6278
Mailing address
709 TAYLOR ST, DAYTON, OH 45404-1633
(937) 219-6278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04133
OH
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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