Individual
KIMBERLY SUE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6641 W AMARILLO BLVD, AMARILLO, TX 79106-1755
(806) 344-5252
Mailing address
3542 FM 1058, HEREFORD, TX 79045-7442
(806) 344-5252
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208441
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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